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 |
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| R = resistance |
| R = resistance |
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== Antibiotics == |
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=== Penicillins === |
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{| class="wikitable" |
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! Drug !! Usual Dose !! Obesity !! Max dose |
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| [[Amoxicillin]] |
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| 1 g PO q8h |
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| No data |
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| [[Ampicillin]] |
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| 2 g IV q4h |
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=== Cephalosporins === |
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{| class="wikitable" |
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! Drug !! Usual Dose !! Obesity !! Max dose |
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| [[Cefazolin]] |
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| 1-2 g IV q8h |
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| 2-3 g IV q6-8h |
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| No data; 12 g daily |
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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 |
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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