Table 2. The PTA for the different colistin regimens in critically ill patients according to kidney function (creatinine clearance) at steady state with targets of fAUC24/MIC ≥25 (for efficacy) and trough concentration ≥3.3 µg/mL (risk of acute kidney injury).
| Creatinine clearance (mL/min) | Dosage regimens | PTA (%) | Trough concentration ≥3.3 µg/mL (%) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Colistin MIC (µg/mL) against CRAB isolates | |||||||||||
| Loading dose | Maintenance dose | 0.125 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | 16 | ||
| 0 – 9 | 300 mg | 100 mg q24h | 100 | 100 | 100 | 99 | 95 | 82 | 56 | 28 | 69 |
| 100 mg q12h | 100 | 100 | 100 | 100 | 100 | 97 | 87 | 66 | 83 | ||
| 150 mg q12h | 100 | 100 | 100 | 100 | 100 | 97 | 86 | 66 | 83 | ||
| 150 mg q24h | 100 | 100 | 100 | 99 | 96 | 81 | 55 | 28 | 70 | ||
| 180 mg q24h | 100 | 100 | 100 | 99 | 96 | 81 | 56 | 28 | 70 | ||
| 10 – 25 | 300 mg | 100 mg q12h | 100 | 100 | 100 | 100 | 98 | 92 | 75 | 49 | 90 |
| 150 mg q12h | 100 | 100 | 100 | 100 | 98 | 90 | 73 | 49 | 89 | ||
| 150 mg q24h | 100 | 100 | 100 | 97 | 88 | 66 | 37 | 14 | 53 | ||
| 180 mg q24h | 100 | 100 | 100 | 97 | 88 | 65 | 36 | 14 | 52 | ||
| 26 – 50 | 300 mg | 100 mg q12h | 100 | 100 | 99 | 97 | 91 | 77 | 54 | 29 | 76 |
| 150 mg q12h | 100 | 100 | 99 | 98 | 92 | 77 | 54 | 29 | 76 | ||
| 150 mg q24h | 100 | 99 | 97 | 89 | 70 | 43 | 19 | 6 | 32 | ||
| 180 mg q24h | 100 | 99 | 97 | 89 | 71 | 43 | 20 | 6 | 32 | ||
| 51 – 90 | 300 mg | 150 mg q24h | 98 | 95 | 87 | 71 | 46 | 22 | 7 | 2 | 15 |
| 150 mg q12h | 99 | 98 | 95 | 89 | 75 | 54 | 32 | 14 | 54 | ||
| 150 mg q8h | 100 | 99 | 98 | 94 | 86 | 71 | 51 | 30 | 73 | ||
| 180 mg q12h | 100 | 99 | 96 | 89 | 75 | 54 | 31 | 14 | 55 | ||
| 180 mg q8h | 100 | 99 | 98 | 94 | 86 | 72 | 51 | 30 | 74 | ||
| 91 – 130 | 300 mg | 150 mg q12h | 98 | 95 | 88 | 75 | 56 | 34 | 16 | 6 | 34 |
| 150 mg q8h | 99 | 97 | 93 | 84 | 71 | 52 | 32 | 16 | 54 | ||
| 180 mg q12h | 98 | 95 | 87 | 75 | 55 | 33 | 16 | 6 | 35 | ||
| 180 mg q8h | 99 | 97 | 93 | 85 | 71 | 51 | 31 | 14 | 54 | ||
Color codes Strongly recommended dose based on
≥90% PTA or
≥90% CFR.
Moderately recommended dose based on 80 - 89% PTA or 80 - 89% CFR.
PTA, probability of target attainment; AUC, area under the curve; MIC, minimum inhibitory concentration; CRAB, carbapenem-resistant Acinetobacter baumannii; CFR, cumulative fraction of response.