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. 2021 Sep 7;74(7):1303–1312. doi: 10.1093/cid/ciab757

Table 3.

Cefiderocol Dose Regimens Based on Renal Function

Renal Function Renal Function Estimates Dose Regimen
Augmenteda CG-CLCR, >120 mL/min 2 g every 6 hours, 3-hour infusion
Normal MDRD-eGFR, 90 to <120 mL/min/1.73 m2 2 g every 8 hours, 3-hour infusion
Mild impairment MDRD-eGFR, 60 to <90 mL/min/1.73 m2 2 g every 8 hours, 3-hour infusion
Moderate impairment MDRD-eGFR, 30 to <60 mL/min/1.73 m2 1.5 g every 8 hours, 3-hour infusion
Severe impairment MDRD-eGFR, 15 to <30 mL/min/1.73 m2 1 g every 8 hours, 3-hour infusion
End-stage renal disease MDRD-eGFR, <15 mL/min/1.73 m2 0.75 g every 12 hours, 3-hour infusion
Requiring intermittent hemodialysis 0.75 g every 12 hours, 3-hour infusion, with consideration for supplemental (third) dose of 0.75 g administered after hemodialysis on dialysis days [25]
Requiring continuous renal replacement therapy Dosed based on effluent flow rate
≤2 L/hour 1.5 g every 12 hours
2.1 to 3 L/hour 2 g every 12 hours
3.1 to 4 L/hour 1.5 g every 8 hours
≥4.1 L/hour 2 g every 8 hours

Abbreviations: CG-CLCR, Cockcroft-Gault creatinine clearance; eGFR, estimated glomerular filtration rate; MDRD, Modification of Diet in Renal Disease.

aPatients with hypermetabolic states due to sepsis [31].