Table 2:
Variable | < 3 million IU/day (n = 6) | ≥ 3 million IU/day (n = 9) | ≥ 6 million IU/day (n = 12) | ≥ 9 million IU/ day (n = 6) | P |
---|---|---|---|---|---|
Age, years** | 76 (70–85) | 67 (44–82) | 61 (46–77) | 69 (52–85) | 0.06 |
Male sex, n (%) | 6 (100) | 8 (88.9) | 8 (66.7) | 4 (66.7) | 0.08 |
Charlson index** | 8 (4–9) | 5 (0–9) | 4 (0–9) | 6 (2–7) | 0.3 |
Clinical status: - Severe sepsis - Shock |
2 (33.3) 1(16.7) |
3 (33.3) 0 (0) |
3 (25) 0 (0) |
2 (33.3) 0 (0) |
0.86 0.18 |
1CMS total dose (million IU) * | 20 (4–40) | 24 (9–112) | 24 (11–120) | 30 (27–99) | 0.20 |
1CMS treatment duration, days** | 10 (5–20) | 8 (3–28) | 5 (3–20) | 5 (3–11) | 0.62 |
2GFR at baseline (mL/min/1.73 m2)** | 33.4 (19–51) | 96.9 (39–353) | 107 (44–212) | 122 (81–138) | 0.005 |
3Css,avg (mg/L)** | 0.85 (0.28–3.02) | 0.57 (0.21–2.43) | 1.1 (0.5–3.64) | 1.4 (0.3–5.2) | 0.16 |
4Expected Css,avg (mg/L) | 0.51 (0.35–0.62) | 0.46 (0.03–1.17) | 0.83 (0.26–1.65) | 1.04 (0.88–1.66) | 0.05 |
5AUC/6MIC** | 40.8 (12–145 | 27.4 (9.6–116.6) | 42.7 (15.6–174.7) | 67.2 (57.6 –249.6) | 0.21 |
AUC/MIC > 60 mg∙h/L | 2 (33.3) | 1 (11.1) | 5 (41.7) | 3 (50) | 0.37 |
Css,avg > 2.5 mg/L Css, avg above MIC |
1 (16.7) 3 (50) |
0 (0) 6 (66.7) |
1 (8.3) 9 (75) |
1 (16.7) 4 (66.7) |
0.83 0.61 |
7AKI at 8EOT, n (%): - R (Risk) - I (Injury) - F (Failure) |
2 (33.3) 1 (50) 1 (50) 0 (0) |
3 (33.3) 0 (0) 2 (66.6) 1 (33.3) |
4 (33.3) 1 (25) 3 (75) 0 (0) |
1 (16.7) 0 (0) 0 (0) 1 (100) |
0.89 |
Clinical cure, n (%) | 6 (100) | 8 (88.9) | 11 (91.7) | 6 (100) | 0.95 |
Microbiological eradication, n (%) | 2 (50) | 7 (87.5) | 7 (87.5) | 6 (100) | 0.36 |
CMS: colistin methanesulfonate
GFR: glomerular filtration rate
Css,avg: colistin plasma concentration at steady-state
Calculated Css,avg according the algorithm of Nation et al
AUC: colistin area under the curve
MIC: minimum inhibitory concentration
AKI: acute kidney injury.