NAKAE, S., YAMADA, M., ITO, T., CHIBA, Y., SASAKI, E., SAKAMOTO, M., TADA, K., YAMADA, T. and MORI, S.
Gentamicin Dosing and Pharmacokinetics in Low Birth Weight Infants. Tohoku J. exp. Med., 1988,
155 (3), 213-223 - Monitoring of serum gentamicin concentrations and one-compartment pharmacokinetic analysis were performed in 41 preterm low birth weight infants (20 with birth weight of <1, 500g and 21 with birth weight of≥1, 500g) in the first week of life. Our dosing regimens, which were 2.0mg/kg every 24hr for the <1, 500g group and 2.0mg/kg every 12hr for the ≥1, 500g group, successfully achieved the desired peak (4-8μg/ml; 87.8%) and trough (≤3μg/ml; 97.5%) concentrations on the 4th day of treatment. In a one-compartment pharmacokinetic analysis, a large intersubject variability of pharmacokinetic parameters were observed on the 1st day of treatment. When we compared the parameters of the 1st day with those of the 4th day, apparent decreases in V
d and TBC were observed. The mean values for TBC and T
1/2 or K
d of the two birth weight groups were significantly different from each other on the 4th day of treatment, suggesting a less maturity of renal functions in the <1, 500g group. The modified method of Sawchuk and Zaske was proven impractical in predicting steady-state serum concentrations because of an underestimation probably caused by the dramatic alteration of V
d due to a diuresis soon after birth. Based on these results, we recommend the above-described dosing regimen and emphasize the importance of a close monitoring of serum gentamicin concentrations and toxicities, instead of the individualized dosing approach in low birth weight infants in the first week of life.
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