TABLE 4.
Summary of cefepime pharmacokinetic parameters for patients receiving CVVHDF
Patient | Dosing regimen | Cmax (μg/ml) | Cmin (μg/ml) | AUC0–24 (μg · h/ml) | t1/2 (h) | V (liter/kg) | CLS
|
UFRa (ml/min) | CRRT CLb
|
Sab | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ml/min | ml/min/kg | ml/min | ml/min/kg | %CLS | |||||||||
6 | 1 g every 24 h | 44.8 | 5.8 | 600.7 | 8.0 | 0.30 | 38 ± 4 | 0.44 ± 0.04 | 18 ± 2 | 25 ± 6 | 0.28 ± 0.07 | 33 ± 10 | 0.73 ± 0.09 |
7 | 1 g every 24 h | 25.7 | 3.5 | 344.9 | 8.2 | 0.58 | 67 ± 5 | 0.81 ± 0.06 | 20 ± 10 | 23 ± 8 | 0.27 ± 0.10 | 66 ± 18 | 0.65 ± 0.09 |
8 | 1 g every 12 h | 36.2 | 13.6 | 581.8 | 8.3 | 0.35 | 58 ± 1 | 0.49 ± 0.01 | 14 ± 1 | 28 ± 1 | 0.24 ± 0.02 | 48 ± 1 | 0.92 ± 0.02 |
9 | 2 g every 24 h | 72.9 | 10.4 | 979.2 | 8.4 | 0.32 | 26 ± 6 | 0.24 ± 0.06 | 20 ± 4 | 47 ± 5 | 0.44 ± 0.05 | 56 ± 14 | 0.73 ± 0.12 |
10 | 2 g every 24 h | 79.1 | 6.9 | 1,009.9 | 6.7 | 0.21 | 36 ± 8 | 0.30 ± 0.07 | 23 ± 7 | 45 ± 2 | 0.37 ± 0.01 | 81 ± 19 | 0.93 ± 0.06 |
11 | 2 g every 24 h | 63.6 | 12.2 | 890.9 | 9.9 | 0.26 | 23 ± 2 | 0.17 ± 0.01 | 13 ± 2 | 42 ± 1 | 0.31 ± 0.01 | 53 ± 4 | 0.78 ± 0.07 |
12 | 2 g every 24 h | 90.8 | 20.4 | 1,306.8 | 10.9 | 0.34 | 22 ± 1 | 0.27 ± 0.02 | 14 ± 2 | 30 ± 1 | 0.36 ± 0.01 | 76 ± 4 | 0.75 ± 0.05 |
Mean ± SD | 8.6 ± 1.4 | 0.34 ± 0.12 | 47 ± 0.12c | 0.46 ± 0.17c | 17 ± 4c | 26 ± 5c | 0.25 ± 0.04c | 59 ± 16c | 0.78 ± 0.10c |
UFR, ultrafiltration rate.
Values are means ± standard deviations calculated from parameter values determined during each of the four or five postdose sampling intervals for each patient: 1 to 2 h, 2 to 4 h, 4 to 8 h, 8 to 12 h, and 12 to 24 h (except with 12-h dosing interval regimens).
Means ± standard deviations calculated from means of the four or five parameter values determined for each individual patient.