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Table 1 Patient Characteristics

From: Optimizing gentamicin conventional and extended interval dosing in neonates using Monte Carlo simulation – a retrospective study

Patient Demographics Based on Number of Patients = 60

Mean ± Standard Deviation (Range)

Number (%)

Gender (Female)

 

24 (40)

Gestational Age at Birth (Weeks)

27 ± 3 (23–36)

 

Birth Weight (g)

990 ± 482 (488–2740)

 

Small for Gestational Age Status (Yes)

 

1 (2)

Place of Birth (Outborn)

 

15 (25)

Apgar Score at 1 minutea

5 (1–9)

 

Apgar Score at 5 minutea

7 (2–9)

 

Neonatal Intensive Care Unit Survival

 

56 (93)

Gentamicin Treatment (Based on Number of Sets of Gentamicin Levels = 64)

 Post-Natal Age at Gentamicin Initiation (Days)

10 ± 12 (1–46)

 

 Corrected Gestational Age at Gentamicin Initiation (Weeks)

28 ± 3 (24–36)

 

 Weight at Gentamicin Initiation(g)

1059 ± 496 (488–2789)

 

 Gentamicin Dose (mg/kg/dose)

3.0 ± 0.7 (2–5.6)

 

 Gentamicin Dosing Interval (Hours)a

24 (12–36)

 

 Duration of Gentamicin Therapy (Days)

7 ± 2 (2–13)

 

Indication for Antibiotic Therapyb (Based on Number of Patients = 60)

 Culture Negative Sepsis

 

30 (50)

 Necrotizing enterocolitis Septic Ileus

 

10 (17)

 Respiratory Tract Infection

 

6 (10)

 Empiric Treatment (<  5 days)

 

5 (8)

 Confirmed Sepsis

 

4 (7)

 Urinary Tract Infection

 

4 (7)

 Meningitis

 

2 (3)

 Skin and Soft Tissue Infection

 

1 (2)

 Other

 

1 (2)

Laboratory Parameters (Closest to and BEFORE Gentamicin Start Date, unless otherwise noted)

(Based on Number of Sets of Gentamicin Levels = 64)

 Serum creatinine (μmol/L)

57 ± 21 (24–93)

 

 Maximum serum creatinine during Gentamicin (μmol/L)

64 + 23 (19–100)

 

 Blood Urea Nitrogen (mmol/L)

8 ± 5 (2–24)

 

 Maximum blood urea nitrogen during Gentamicin (mmol/L)

11 ± 5 (3–26)

 

 24-h urine output (ml/kg/hr)

4 ± 1 (1–7)

 

 Lowest 24-h urine output during Gentamicin (ml/kg/hr)

3 ± 2 (1–19)

 

 Trough gentamicin concentration (mg/L)c

1.1 ± 0.6 (0.2–3.9)

 

 Peak gentamicin concentration (mg/L)c

7.1 ± 2.2 (3.7–17.1)

 

Nephrotoxins & Ototoxinsd (Based on Number of Sets of Gentamicin Levels = 64)

Concomitant Nephrotoxins during a course of gentamicin

 

43 (67)

Concomitant Ototoxins during a course of gentamicin

 

44 (69)

 Vancomycine,f

 

25 (39)

 Indomethacine,f

 

21 (33)

 Furosemidee,f

 

3 (5)

 Amphotericin Be

 

3 (5)

 Ibuprofene,f

 

1 (2)

 Erythromycinf

 

2 (3)

Prior course of Gentamicin

 

30 (47)

  1. aMedian reported since apgar scores are ordinal data and standard dosing gentamicin intervals were used (e.g. every 12, 24, or 36 h), therefore, gentamicin dosing interval data are ordinal
  2. bThree patients with 2 sets of gentamicin levels had a different diagnosis for each set of gentamicin levels. Therefore, the sum (%) of total indications is greater than 60 (100%) (i.e. 63 (105%))
  3. cExtrapolated concentration using first order pharmacokinetics
  4. dEach course of gentamicin may have had greater than one nephrotoxin or ototoxin, therefore, sum of individual nephrotoxins and ototoxins is greater than the total number of courses of gentamicin with a concomitant nephrotoxin or ototoxin
  5. eNephrotoxin
  6. fOtotoxin