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. 2021 Mar 22;53(1):128–140. doi: 10.3947/ic.2021.0007

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 Inline graphic ≥90% PTA or Inline graphic ≥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.