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. 2019 Dec 20;64(1):e01655-19. doi: 10.1128/AAC.01655-19

TABLE 4.

Cumulative fractional response against Pseudomonas aeruginosa EUCAST MIC distribution for exposure during the first 24 h of treatmenta

Dosing regimen CFR rate by PK/PD target for empirical therapy
CFR rate by PK/PD target for directed therapy
40 %fT>MIC 60 %fT>MIC 100 %fT>MIC 40 %fT>MIC 60 %fT>MIC 100 %fT>MIC
0.375 g q8h 0.82 0.79 0.65 0.99 0.96 0.80
0.375 g 4 h EI q8h 0.82 0.79 0.24 0.99 0.96 0.29
0.375 g LD + 1.125 g continuous infusion 0.83 0.83 0.68 1.00 1.00 0.83
0.75 g q8h 0.86 0.84 0.77 1.00 1.00 0.94
0.75 g 4 h EI q8h 0.86 0.86 0.51 1.00 1.00 0.62
0.75 g LD + 2.25 g continuous infusion 0.86 0.86 0.79 1.00 1.00 0.96
1.5 g q8h 0.87 0.87 0.85 1.00 1.00 1.00
1.5 g 4 h EI q8h 0.87 0.87 0.69 1.00 1.00 0.84
1.5 g LD + 4.5 g continuous infusion 0.87 0.87 0.86 1.00 1.00 1.00
1.5 g LD for 24 h + 0.75 g q8h 0.87 0.87 0.85 1.00 1.00 1.00
3.0 g q8h 0.90 0.88 0.86 1.00 1.00 1.00
3.0 g 4 h EI q8h 0.90 0.88 0.79 1.00 1.00 0.96
3.0 g LD + 9.0 g continuous infusion 0.92 0.91 0.87 1.00 1.00 1.00
3.0 g LD + 0.75 g q8h 0.87 0.87 0.86 1.00 1.00 1.00
a

PK, pharmacokinetic; PD, pharmacodynamic; CFR, cumulative fractional response; EI, extended infusion; q8h, every 8 h intermittent infusion (1 h); % fT>MIC, percentage of time free drug concentration was above the MIC; LD, loading dose over 1 h; continuous infusion, continuous infusion over 24 h.