Skip to main content

Table 2 Probability of target attainment of selected ciprofloxacin and levofloxacin dosing regimens for Gram-negative infection with P. aeruginosa a in 5000 virtual patients with 8-h hemodialysis PIRRT at dialysate flow rate of 5 L/h during the initial 72 h

From: In silico trials using Monte Carlo simulation to evaluate ciprofloxacin and levofloxacin dosing in critically ill patients receiving prolonged intermittent renal replacement therapy

Dosing regimens

Early PIRRTb

Late PIRRTc

Day 1 PTA (%)

Day 2 PTA (%)

Day 3 PTA (%)

Mean PTA (%)

Day 1 PTA (%)

Day 2 PTA (%)

Day 3 PTA (%)

Mean PTA (%)

Ciprofloxacin

200 mg q12h

0.0

0.0

0.0

0.0

0.0

0.3

0.6

0.1

400 mg q12h

3.9

24.3

33.4

17.3

7.8

30.0

38.0

23.8

800 mg q12h

66.6

91.2

92.5

87.9

72.5

92.6

93.7

90.1

200 mg q8h

0.3

5.8

11.2

3.5

0.4

5.5

10.5

3.5

400 mg q8h

27.7

71.0

76.2

62.2

30.1

70.3

75.6

63.3

600 mg q8h

75.4

96.1

96.9

93.9

76.3

96.2

96.9

94.3

1200 mg LD, then 800 mg q12h

89.9

92.3

92.7

92.9

93.1

94.2

94.4

94.8

Levofloxacin

 

750 mg q24h

1.7

25.4

45.9

24.4

9.9

43.5

63.5

39.0

750 mg LD, then 250 mg q24h post-PIRRT

11.1

3.6

1.7

5.5

10.0

3.1

1.6

4.9

750 mg LD, then 500 mg q24h post-PIRRT

27.4

32.0

35.0

31.5

10.4

20.8

28.6

20.0

750 mg LD, then 750 mg q24h post-PIRRT

45.3

65.5

73.9

61.5

10.9

44.1

63.1

39.4

1500 mg LD, then 750 mg q24h post-PIRRT

83.7

84.2

83.4

83.8

66.3

74.1

77.6

72.7

1500 mg LD, then

1000 mg q24h post-PIRRT

89.2

93.8

95.3

92.8

67.2

84.8

91.4

81.2

2000 mg LD, then 1000 mg q24h post-PIRRT

96.4

97.1

96.9

96.8

87.5

92.5

94.5

91.5

  1. Bolded dosing regimens are the ones that attained PTA of ~90 % or greater in both early and late PIRRT, using the smallest daily dose
  2. LD loading dose
  3. aPharmacodynamic target used for Gram-negative infection was AUC24h:MIC ≥125 with MIC = 1 mg/L for ciprofloxacin and MIC = 2 mg/L for levofloxacin (susceptibility breakpoint for Pseudomonas aeruginosa)
  4. bEarly PIRRT: when the first fluoroquinolone dose is administered with the commencement of a daily PIRRT session
  5. cLate PIRRT: when the first fluoroquinolone dose is administered 16 h before a daily PIRRT session