TABLE 2.
Trough cefepime levels and creatinine clearance measured after multiple 2-g doses of cefepime over 12 h (profile B), and trough plasma cefepime concentrations at 48 h predicted by simulated dosing regimens
Patient | CLCR (ml/min) | C0h (μg/ml) | C12h (μg/ml) |
C48h trougha (μg/ml)
|
|
---|---|---|---|---|---|
6 g/dayb | 1 g/4 hc | ||||
2 | 128.4 | 2.6 | 2.1 | 29.8 | 9.6 |
3 | 87.6 | 5.4 | 4.0 | 52.9 | 29.5 |
5 | 127.2 | <1.0 | <1.0 | 28.2 | 7.4 |
6 | 195.6 | 1.4 | <1.0 | 24.9 | 10.0 |
7 | 137.4 | 3.0 | 2.8 | 30.1 | 13.5 |
9 | 146.4 | <1.0 | <1.0 | 32.1 | 13.0 |
10 | 115.8 | 2.0 | 2.2 | 35.7 | 13.2 |
11 | 118.8 | <1.0 | <1.0 | 42.2 | 24.1 |
12 | 150.6 | 1.4 | 1.4 | 24.3 | 10.9 |
13 | 74.4 | 6.2 | 7.7 | 53.0 | 33.6 |
Median | 127.8 | 1.7 | 1.8 | 31.1 | 13.1 |
Mean | 128.2 | 35.3 | 16.5 | ||
SD | 30.5 | 9.7 | 8.3 |
Predicted minimum cefepime concentration after 48 h.
Simulated continuous infusion of 6 g of cefepime per 24 h with an initial 0.5-g loading dose.
Simulated 3-min infusion of 1 g of cefepime every 4 h.