Skip to main content

Table 5 Monte Carlo Simulation Results for Neonates Weighing ≤ 850 g

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

Dosing Regimen

Target Peak Serum Concentration (mg/L)

Target Trough Serum Concentration (mg/L)

Peak:Minimum Inhibitory Concentration Ratio

Dose (mg/kg)

Dosing Interval (h)

5–10

12–20

15–20

≥ 20

≤ 2

≤ 0.5

≥ 8

2.5a

24

68.76%

0.12%

0.01%

0.00%

81.16%

5.18%

4.21%

3.5a

24

80.45%

4.61%

0.51%

0.01%

58.24%

1.68%

11.26%

3.0

48

69.05%

0.02%

0.00%

0.00%

99.89%

78.65%

3.26%

3.5b

48

86.31%

0.27%

0.00%

0.00%

99.74%

71.89%

6.35%

4.0

48

87.81%

1.53%

0.07%

0.00%

99.45%

65.51%

9.30%

4.5

48

78.22%

5.12%

0.40%

0.00%

99.01%

59.83%

12.54%

5.0

48

62.65%

12.44%

1.53%

0.02%

98.42%

53.62%

16.18%

5.5

48

45.62%

23.47%

4.10%

0.12%

97.69%

49.95%

20.08%

6.0

48

30.54%

36.89%

8.66%

0.42%

96.76%

45.74%

24.21%

6.5

48

18.92%

50.59%

15.39%

1.13%

95.72%

41.94%

28.74%

7.0

48

11.15%

62.11%

23.60%

2.61%

94.51%

38.77%

33.22%

7.5

48

6.10%

70.60%

32.27%

5.19%

93.14%

35.73%

37.96%

8.0

48

3.16%

74.94%

39.79%

9.10%

91.71%

32.96%

42.66%

8.0c

72

4.62%

73.37%

35.31%

5.94%

99.84%

87.65%

39.55%

8.5c

72

2.41%

76.38%

42.25%

10.04%

99.79%

86.31%

43.92%

9.0c

72

1.10%

75.99%

47.24%

15.56%

99.73%

84.88%

48.44%

9.5

72

0.45%

72.46%

49.45%

22.35%

99.65%

83.46%

52.81%

10

72

0.10%

66.97%

49.27%

30.06%

99.55%

82.07%

56.95%

  1. aDosing regimens recommended at Sunnybrook at time of study: ≤ 27 weeks corrected gestational age (CGA): 2.5 mg/kg q24h; 28–32 weeks CGA: 3.5 mg/kg q24h; 33–34 wks CGA: 4.5 mg/kg q24h
  2. bRecommended dosing to target gentamicin concentrations: Peak 5-10 mg/L and Trough < 2 mg/L
  3. cRecommended dosing to target gentamicin concentrations: Peak 12-20 mg/L and Trough ≤ 0.5 mg/L