Table 7.
All Isolates | Colistin-Susceptible Isolates | Colistin-Resistant Isolates | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
%CFR | Colistin-Susceptible K. pneumoniae Subgroup |
Colistin-Susceptible E. coli Subgroup |
%CFR for all Sus-Ceptible Isolates | Colistin-Resistant K. pneumoniae Subgroup |
Colistin-Resistant E. coli Subgroup |
%CFR for all Resistant Isolates | |||||||||||
%PTA | %PTA | %CFR | %PTA | %CFR | %PTA | %CFR | %PTA | %CFR | |||||||||
MIC (mcg/mL) | MIC50 | MIC90 | MIC50 | MIC90 | MIC50 | MIC90 | MIC50 | MIC90 | MIC50 | MIC90 | |||||||
1 | 16 | 0.5 | 2 | 0.5 | 0.5 | 16 | 32 | 8 | 32 | ||||||||
CrCl ≥80 mL/min | |||||||||||||||||
150 mg q12 h (EMA, FDA) |
82.47 | 7.08 | 70.68 | 92.66 | 64.41 | 85.41 | 92.66 | 92.66 | 90.40 | 86.34 | 7.08 | 1.51 | 12.45 | 19.48 | 1.51 | 20.33 | 13.40 |
180 mg q12 h (Nation et al.) |
85.55 | 8.99 | 73.14 | 97.91 | 69.2 | 87.87 | 97.91 | 97.91 | 92.25 | 88.69 | 8.99 | 2.2 | 15.08 | 24.09 | 2.2 | 24.18 | 16.18 |
150 mg q8 h (Siriraj) |
90.07 | 19.48 | 78.56 | 98.68 | 79.7 | 92.02 | 98.68 | 98.68 | 95.06 | 92.58 | 19.48 | 7.02 | 25.45 | 39.3 | 7.02 | 35.99 | 26.71 |
CrCl 51 to 79 mL/min | |||||||||||||||||
114 mg q12 h (FDA) |
87.96 | 9.8 | 74.90 | 95.95 | 71.98 | 89.91 | 95.95 | 95.95 | 94.07 | 90.69 | 9.8 | 2.36 | 15.94 | 25.05 | 2.36 | 25.26 | 17.06 |
150 mg q12 h (Siriraj, EMA, Nation et al) |
91.66 | 13.73 | 77.96 | 97.26 | 78.32 | 92.65 | 97.26 | 97.26 | 95.82 | 93.24 | 13.73 | 3.8 | 20.53 | 32.72 | 3.8 | 31.22 | 21.81 |
CrCl 30 to 50 mL/min | |||||||||||||||||
150 mg q24 h (FDA) | 90.53 | 3.58 | 74.65 | 97.55 | 71.1 | 91..27 | 97.55 | 97.55 | 95.58 | 92.07 | 3.58 | 0.39 | 10.05 | 15.59 | 0.39 | 18.84 | 11.10 |
100 mg q12 h (Siriraj) | 95.34 | 18.09 | 81.26 | 98.89 | 85.65 | 95.74 | 98.89 | 98.89 | 97.90 | 96.14 | 18.09 | 5.58 | 25 | 38.9 | 5.58 | 36.58 | 26.39 |
110 mg q12 h (Nation et al.) |
96.29 | 20.03 | 82.17 | 99.03 | 87.43 | 96.35 | 99.03 | 99.03 | 98.19 | 96.70 | 20.03 | 6.41 | 27.05 | 42.66 | 6.41 | 39.01 | 28.48 |
125 mg q12 h (EMA) | 97.71 | 23.65 | 83.51 | 99.15 | 89.8 | 97.18 | 99.15 | 99.15 | 98.52 | 97.43 | 23.65 | 8.09 | 30.41 | 46.87 | 8.09 | 42.66 | 31.87 |
CrCl 11 to 29 mL/min | |||||||||||||||||
60 mg q24 h (FDA) | 83.41 | 3.57 | 70.63 | 96.33 | 56.2 | 86.26 | 96.33 | 96.33 | 97.91 | 87.56 | 3.57 | 0.42 | 8.11 | 13.11 | 0.42 | 14.41 | 8.87 |
150 mg q24 h (EMA, Siriraj) |
97.92 | 11.16 | 81.45 | 99.67 | 89.35 | 97.44 | 99.67 | 99.67 | 99.61 | 97.73 | 11.16 | 2.02 | 20.20 | 33.24 | 2.02 | 33.27 | 21.77 |
180 mg q24 h (Nation et al.) |
97.93 | 11.23 | 81.45 | 99.63 | 89.32 | 97.41 | 99.63 | 99.63 | 99.93 | 97.70 | 11.23 | 1.94 | 20.29 | 33.41 | 1.94 | 33.4 | 21.87 |
CrCl≤10 mL/min | |||||||||||||||||
60 mg q24 h (FDA) | 94.94 | 11.81 | 78.82 | 99.5 | 77.09 | 94.47 | 99.5 | 99.5 | 99.99 | 95.11 | 11.81 | 2.61 | 17.88 | 28.19 | 2.61 | 27.44 | 19.03 |
120 mg q24 h (EMA) | 99.34 | 21.74 | 84.70 | 99.94 | 94.92 | 98.91 | 99.94 | 99.94 | 99.99 | 99.04 | 21.74 | 5.98 | 29.99 | 48.29 | 5.98 | 43.72 | 31.63 |
150 mg q24 h (Nation et al.) |
99.76 | 28.36 | 86.51 | 99.98 | 97.4 | 99.47 | 99.98 | 99.98 | 100 | 99.54 | 28.36 | 8.69 | 36.24 | 57.76 | 8.69 | 50.55 | 37.96 |
MICs = minimum inhibitory concentrations (mcg/mL), PTA = Probability of target attainment, CFR = Cumulative fraction of response, CrCl = Creatinine clearance (ml/min), EMA = European Medicine Agency, FDA = US-Food and Drug Administration. The alternative data of Table 7 were shown in Supplementary Materials Table S6.