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Table 2 Amikacin pharmacokinetics in patients with or without renal dysfunction

From: Revisiting the loading dose of amikacin for patients with severe sepsis and septic shock

 

All

(n = 74)

CrCl <50 ml/min

(n = 38)

CrCl >50 ml/min

(n = 36)

Vd1 (central) (L)

0.23 (0.18-0.28)

0.23 (0.19-0.35)

0.22 (0.17-0.26)

Vd2 (peripheral) (L)

0.18 (0.11-0.23)

0.19 (0.12-0.29)

0.18 (0.11-0.23)

Vss (L/kg)

0.41 (0.29-0.51)

0.42 (0.31-0.54)

0.40 (0.28-0.49)

t1/2 (hours)

4.6 (3.2-7.8)

7.6 (4.6-13.2)

3.3 (2.5-4.6)a

CL (ml/min/kg)

1.98 (1.28-3.54)

1.29 (0.84-2.01)

3.49 (1.94-5.04)a

AUC (mg × h/ml)

798 (478-1285)

1,177 (833-1961)

466 (368-763)a

Cmax (μg/ml)

91.7 (73.1-112.8)

91.0 (70.6-112.8)

92.3 (74.1-109.4)

Peak (μg/ml)

72.7 (61.7-90.2)

71.5 (57.3-86.3)

75.7 (63.1-92.9)

Cmin (μg/ml)

6.7 (2.1-15.4)

15.4 (8.0-21.4)

2.6 (1.3-6.0)a

  1. Data are expressed as median (IQR). a p < 0.001. AUC, area under the curve; t1/2, elimination half-time; CL, clearance; CrCl, creatinine clearance; Vd, volume of distribution; Vss, total volume of distribution.