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Table 2 Cefiderocol doses adjusted on kidney function

From: Empiric treatment of patients with sepsis and septic shock and place in therapy of cefiderocol: a systematic review and expert opinion statement

Kidney function

GFR

Dose rates

Augmenteda

CG-CLCR, > 120 ml/min

2 g every 6 h, 3-h infusion

Normal

MDRD-eGFR, 90–120 ml/min/1.73 m2

2 g every 8 h, 3-h infusion

Mildly compromised

MDRD-eGFR, 60–90 ml/min/1.73 m2

2 g every 8 h, 3-h infusion

Moderately compromised

MDRD-eGFR, 30–60 ml/min/1.73 m2

1.5 g every 8 h, 3-h infusion

Critically compromised

MDRD-eGFR, 15–30 ml/min/1.73 m2

1 g every 8 h, 3-h infusion

End-stage renal disease

MDRD-eGFR, < 15 ml/min/1.73 m2

0.75 g every 12 h, 3-h infusion

Intermittent dialysis required

 

0.75 g every 12 h, 3-h infusion, (3rd) supplementary dose 0.75 g after hemodialysis (during hemodialysis days)

CRRT required

Dosed according effluent rate:

◦ ≤ 2 l/h

⇒ 1.5 g every 12 h

◦ 2.1–3 l/h

⇒ 2 g every 12 h

◦ 3.1–4 l/h

⇒ 1.5 g every 8 h

◦ ≥4.1 l/h

⇒ 2 g every 8 h

  1. CG-CLCR Cockcroft-Gault creatinine clearance, eGFR estimated glomerular filtration rate, MDRD Modification of diet in renal disease, CRRT continue renal replacement therapy
  2. aPatients with hypermetabolic states due to sepsis