Dosing of antimicrobials in obesity: Difference between revisions

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| 0.00151 × (height, cm)<sup>2</sup> - 0.0344 × R + 0.14 × TBW - (0.158 × age) + 20.387
| 0.00151 × (height, cm)<sup>2</sup> - 0.0344 × R + 0.14 × TBW - (0.158 × age) + 20.387
| R = resistance
| R = resistance
|}

== Antibiotics ==
=== Penicillins ===

{| class="wikitable"
! Drug !! Usual Dose !! Obesity !! Max dose
|-
| [[Amoxicillin]]
|
| 1 g PO q8h
| No data
|-
| [[Ampicillin]]
|
| 2 g IV q4h
|
|}

=== Cephalosporins ===
{| class="wikitable"
! Drug !! Usual Dose !! Obesity !! Max dose
|-
| [[Cefazolin]]
| 1-2 g IV q8h
| 2-3 g IV q6-8h
| No data; 12 g daily
|}
|}



Revision as of 15:04, 9 December 2019

Calculating Body Weight

Statistic Equation (Male) Equation (Female) Notes
Body mass index (BMI) (kg/m2) weight, kg / (height, m)2
Body surface area (BSA) (m2) (height, cm × weight, kg / 3600)1/2
Ideal body weight (IBW) (kg) 50 + 2.3 × (inches over 5 ft) 45.5 + 2.3 × (inches over 5 ft)
Adjusted body weight (ABW) (kg) IBW + C × (TBW - IBW) C = 0.3 to 0.4
Lean body weight (LBW) (kg) 9270 × TBW / 6680 + 216 x BMI 9270 × TBW / 8780 + 244 x BMI
Fat-free weight (FFW) (kg) 0.00139 × (height, cm)2 - 0.0801 × R + 0.187 × TBW + 39.83 0.00151 × (height, cm)2 - 0.0344 × R + 0.14 × TBW - (0.158 × age) + 20.387 R = resistance

Antibiotics

Penicillins

Drug Usual Dose Obesity Max dose
Amoxicillin 1 g PO q8h No data
Ampicillin 2 g IV q4h

Cephalosporins

Drug Usual Dose Obesity Max dose
Cefazolin 1-2 g IV q8h 2-3 g IV q6-8h No data; 12 g daily

Further Reading

  • Comprehensive Guidance for Antibiotic Dosing in Obese Adults. Pharmacotherapy. 2017;37(11):1415-1431. doi: 10.1002/phar.2023