Skip to main content

Table 6 Monte Carlo Simulation Results for Neonates Weighing Between 851 and 1200 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

66.21%

0.00%

0.00%

0.00%

99.66%

27.12%

3.27%

3.5a

24

91.17%

0.83%

0.02%

0.00%

96.57%

9.94%

9.39%

2.5

24

66.21%

0.00%

0.00%

0.00%

99.66%

27.12%

3.27%

3.0

24

90.28%

0.06%

0.00%

0.00%

98.68%

16.37%

6.08%

3.5b

24

91.17%

0.83%

0.02%

0.00%

96.57%

9.94%

9.39%

4.0

24

77.21%

4.42%

0.21%

0.00%

93.13%

6.17%

13.23%

4.5

24

55.29%

13.88%

1.23%

0.01%

88.39%

4.01%

17.50%

4.5

36

72.05%

5.81%

0.27%

0.00%

99.96%

69.44%

14.27%

5.0

36

50.61%

15.89%

1.38%

0.00%

99.90%

62.85%

18.27%

5.5

36

30.74%

31.43%

4.51%

0.05%

99.80%

56.50%

22.73%

6.0

36

16.46%

49.27%

10.87%

0.28%

99.66%

50.67%

27.44%

6.5

36

7.96%

65.32%

20.63%

0.96%

99.42%

45.56%

32.25%

7.0

36

3.50%

76.80%

32.38%

2.61%

99.08%

40.71%

37.26%

7.5

36

1.43%

82.50%

43.50%

5.85%

98.62%

36.70%

42.38%

8.0

36

0.56%

82.76%

52.04%

11.15%

98.06%

32.80%

47.42%

8.5

36

0.21%

78.31%

56.09%

18.62%

97.40%

29.56%

52.36%

9.0

36

0.07%

70.46%

55.41%

28.09%

94.61%

21.62%

66.33%

7.5

48

14.52%

81.31%

39.39%

4.12%

99.99%

89.88%

40.26%

8.0c

48

7.95%

83.70%

49.22%

8.35%

99.99%

88.06%

45.22%

8.5c

48

4.07%

81.27%

55.18%

14.72%

99.98%

86.11%

50.20%

9.0c

48

2.00%

74.96%

56.71%

23.04%

99.96%

84.10%

54.91%

9.5

48

0.94%

66.18%

54.11%

32.88%

99.95%

82.15%

59.48%

10

48

0.43%

56.10%

48.53%

43.50%

99.93%

80.12%

63.87%

  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