TABLE 1.
Probability of target attainment of de-escalation antifungal treatment against Candida spp. in critically ill patients with different weights using epidemiologic cutoff values as pharmacodynamics index
Antifungal | fAUC0–24/MIC | Dosing regimena | Probability of target attainment (%) for Candida species according to wt (kg)b |
||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C. albicans
|
C. glabrata
|
C. parapsilosis
|
C. tropicalis
|
C. krusei
|
|||||||||||||
50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | |||
Fluconazole | 25 | 6 mg/kg QD i.v. | 100 | 100 | 100 | 0.2 | 0 | 0 | 100 | 100 | 100 | 100 | 100 | 100 | |||
400 mg QD i.v. | 100 | 100 | 0 | 0 | 100 | 100 | 100 | 100 | |||||||||
12 mg/kg QD i.v. | 100 | 99.9 | 99.8 | ||||||||||||||
800 mg QD i.v. | 98.3 | 6.6 | |||||||||||||||
6 mg/kg QD p.o. | 100 | 100 | 100 | 0 | 0 | 0 | 100 | 100 | 100 | 100 | 100 | 100 | |||||
400 mg QD p.o. | 100 | 100 | 0 | 0 | 100 | 100 | 100 | 100 | |||||||||
12 mg/kg QD p.o. | 0 | 0 | 0.5 | ||||||||||||||
800 mg QD p.o. | 38.6 | ||||||||||||||||
Voriconazolec | 25 | 150 mg q12h i.v. | 100 | 100 | 100 | 100 | 86.9 | ||||||||||
150 mg q12h p.o. | 100 | 100 | 100 | 100 | 60.3 | ||||||||||||
200 mg q12h i.v. | 100 | 100 | 100 | 100 | 99.8 | ||||||||||||
200 mg q12h p.o. | 100 | 100 | 100 | 100 | 97.8 |
QD, once a day; i.v., intravenously; p.o., orally.
Boldface indicates PTA of ≤90%. Body weights are given as 50, 75, and 100 kg.
PTA values for voriconazole are calculated regardless of weight.