Cefazolin

From IDWiki

Background

Clinical Breakpoints

Species ECV (μg/mL) Breakpoints (μg/mL) Breakpoints (mm)
S I R S I R
Enterobacteriaceae (systemic) ≤2 4 ≥8
Enterobacteriaceae (urinary) ≤16 ≥32

Dosing

  • Low dose (for UTI or uncomplicated soft tissue infection): 1 g IV with
  • Standard dose: 2 h IV q8h
  • High dose (for critical illness and IE): 2 f IV q6h

Renal Dosing

eGFR (mL/min) Standard Dose High Dose
>40
20-40 2 g IV q12h 2 h IV q12h
<20 1 g IV q24h 1 g IV q24h
CRRT 2 h IV q12h 2 h IV q12h