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. 2019 Aug 25;74(12):3565–3572. doi: 10.1093/jac/dkz357

Table 1.

Characteristics of included patients, their treatment and CSF concentrations of aciclovir (ACV) and CMMG at all sampling timepoints

Patient Age (years) Gender Weight (kg) Indication for treatment ACV dose q8h (mg/kg) Lag time from dose to sampling (h) Treatment duration (days) Estimated CLCR (mL/min) RIFLE Serum concentration (μmol/L)
CSF concentration (μmol/L)
CSF:serum albumin ratio×10-3 Neuropsychiatric symptoms during treatment
ACV CMMG ACV CMMG
1a 70 M 56 herpes encephalitis 10 7.5 13 80 R 5.7 0.74 8.4 0.15 N/A
1b 10 9 20 71 2.7 0.29 7.1 <0.15 15.4
1c 10 8.5 27 57 5 0.59 8.5 <0.15 11.7
2 79 F 52 herpes encephalitis 11 6.5 9 61 R 70 12 11 0.27 7
3 66 M 89 suspected varicella meningitis 1000d 1 14 84 F 29 1.7 3.1 <0.15 6.9
4a 35 M 98 herpes encephalitis 15 6 2 30 F 110 57 40 3.3 29.4 confusion, improved at dose adjustment
4b 12 7.5 9 125 25 2.8 7.5 0.15 15.7
4c 12 8 16 149 10 1.5 10 0.19 23.8
5 30 M 100 suspected encephalitis 10 6 3 109 9.6 1.3 6.7 <0.15 24.3
6a 64 F 60 herpes encephalitis 12 3.5 3 40 R 50 9.7 24 0.68 20.1 confusion, improved at end of treatment
6b 12 4 13 65 18.6 2.7 14 0.3 15.4
6c 12 8 21 70 11 2.3 12 0.23 11.9
7a 65 M 76 recurrent herpes encephalitis 15 2.5 8 109 I 55 18 16 0.29 14.7 confusion, improved at end of treatment
7b 15 4.5 15 51 120 38 29 1 10.5
7c 15 21 29 35 11 11 8.2 0.66 14.6
8 55 M 77 herpes encephalitis 10 5.5 13 122 11 1 6.7 <0.15 7.4
9a 58 M 68 stroke 11 1 5 56 75 10 12 0.27 9.3
9b 10 6.5 11 52 20 5 11 0.26 11.7
10 40 M 120 herpes meningoencephalitis 10 1 12 184 13 0.9 8.5 <0.15 9.6
11 41 F 67 herpes meningitis 10 4.5 7 117 14 1.5 17 0.77 26.7
12 67 M 78 suspected encephalitis 9 1.5 5 87 31 4.9 8.9 0.17 13.8
13 26 F 50 suspected encephalitis 15 8 3 119 6.1 1.2 5.9 <0.15 8.6
14 58 M 87 herpes meningitis 1000d 1 10e 115 13 2 4.8 <0.15 8.6
15a 65 F 67 herpes encephalitis 9 6 6 73 10 2.3 7.7 0.16 8.5
15b 9 3 11 79 40 5.4 7.6 <0.15 8.8
16 39 F 77 herpes encephalitis 14 1 13 131 N/A N/A 8 <0.15 22.5
17 49 F 72 herpes meningitis 9 1.5 3 129 17 1.6 7.5 <0.15 4.1
18 53 M 85 varicella meningitis 14 5.5 2 123 N/A N/A 14 0.24 13.3
19a 75 F 57 varicella encephalitis 10 7 7 54 Rf 15 5.2 28 6.4 162.4 confusion, improved at end of treatment
19b 10 7 14 68 13 3.6 27 3.8 108.1
20a 55 F 68 Ramsay Hunt syndrome 14 2.5 2 131 F 31 3.8 6.5 <0.15 1.7 anxiety, improved slowly at end of treatment
20b 5 3 9 60 12 3 3.3 <0.15 1.4
21a 38 M 81 varicella encephalitis 14 4.5 1 141 9.9 1.1 12 0.2 28.8
21b 14 2.5 3 135 19 1.9 14 0.24 18

ACV dose, mg iv aciclovir per kg body weight in a single dose, administered three times daily, except in patient 20b, where doses were administered twice daily; N/A, not available; M, male; F, female; (RIFLE column) R, risk; I, injury; F, failure; shaded areas indicate patients assessed to have AINS.

a

First sampling in patient where repeated sampling was performed.

b

Second sampling.

c

Third sampling.

d

Treatment with oral valaciclovir in single dose (mg), three times daily.

e

Patient had previously received valaciclovir in a lower dose regimen as prophylaxis.

f

Patient did not fulfil RIFLE criteria based on creatinine, but calculation of GFR according to cystatin C CAPA estimated GFR at 30 mL/min, corresponding to at least risk of acute kidney failure.