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DOSIS DE ANTIBITICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DILISIS

FRMACO

Amoxicilina- c.
Clavulnico
Ampicilina

DOSIS USUAL
(CrCl>60ml/min)

CrCl 59-30ml/min

CrCl 29-15ml/min

CrCl <15ml/min

HMD

DP

OR:875-125mg/8h OR:875-125mg/8h OR:500-125mg/12h OR:500-125mg/24h OR:500-125mg/24h 250-62.5mg/12h


EV: 1g/8h
EV: 1g/8h
EV:500mg/12h
EV:500mg/24h
EV:500mg/24h DD va oral
1-2g/ 4-6h EV

1-2g/ 6h EV

1-2g/ 8-12h EV

1-2g/12h EV

1-2g/ 12h EV DD

250 mg/12h EV

Aztreonam

1-2g/ 8h EV

1-2g/ 8h EV

0.5-1g/ 8h EV

250-500mg/ 8h EV

250-500mg/ 8h EV

Cefazolina

1-2g/ 8h EV

1-2g/ 8h EV

500mg-1g/ 12h EV

1g/ 24-48h EV

2g EV DD

Cefepime

2g/ 12h EV

2g/ 24h EV

1g/ 24h EV/IM

Cefotaxima

1-2g/ 8h EV

1-2g/ 8h EV

1-2g/ 12h EV

1-2g/ 24h EV

1-2g/ 24h EV DD

Ceftizidima

1-2g/8h EV

1g/12h EV

1g/24h EV

1g/48h EV

1g EV DD

500mg/ 24h EV

Cefuroxima

750-1500mg/8h
EV

750mg/12h EV

750mg/24h EV

750mg/24h EV DD

750mg/24h EV

250-500 mg/24h OR

250-500 mg/48h
OR

250-500 mg/48h OR
DD

Cefuroxima Axetilo 250-500 mg/12h


OR

750-1500mg/8h
EV
250-500 mg/12h
OR

500mg/ 24h EV DD 500mg/ 24h EV DD

DOSIS DE ANTIBIOTICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DIALISIS

500 mg/12h
1g/48h EV
1-2g/24h EV

DOSIS DE ANTIBITICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DILISIS


FRMACO

DOSIS USUAL
(CrCl>60ml/min)

CrCl 5930ml/min

CrCl 2915ml/min

CrCl <15ml/min

HMD

Ciprofloxacino

500-750mg/12h OR
200-400mg/12h EV

500mg/12h OR
400mg/12h EV

250mg/12h OR
200mg/12h EV

250mg/12h OR
200mg/12h EV

250-500mg/24h OR

Claritromicina

500mg/12h EV/OR

250mg/ 12h EV

250mg/ 12h EV

Imipenem

500mg/ 6h EV

500mg/ 8h EV

250mg/ 6h EV

250mg/ 12h EV

250mg/ 12h EV DD

250mg/ 12h EV

Levofloxacino

500mg/ 24h EV/OR

250-500mg/24h
EV/OR

250mg/24-48h
EV/OR

250mg/48h
EV/OR

250mg/48h EV/OR

250mg/48h
EV/OR

Meropenem

1g/ 8h EV

1g/ 12h EV

500mg/ 12h EV

500mg/ 24h EV

500mg/ 24h EV DD

500mg/ 24h EV

Metronidazol

500mg/ 6h EV

500mg/ 6h EV

500mg/ 6h EV

250mg/ 6h EV

250mg/ 6h EV DD

250mg/ 6h EV

Norfloxacino

400mg/ 12h OR

400mg/ 12h OR 400mg/ 24h OR

400mg/ 24h OR

400mg/ 24h OR

DOSIS DE ANTIBIOTICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DIALISIS

DP

DOSIS DE ANTIBITICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DILISIS


FRMACO

DOSIS USUAL
(CrCl>60ml/min)

CrCl 5930ml/min

Piperacilina/Tazobactam

4g-500mg/8h EV

4g-500mg/8h
EV

Sulfametoxazol/Trimetoprim

25mg/Kg/6-8h
EV

25mg/Kg/6-8h
EV

Teicoplanina

6mg/Kg/24h EV

Vancomicina

15mg/Kg/12h EV

CrCl 2915ml/min

CrCl <15ml/min

HMD

DP

2g-250mg/6h EV 2g-250mg/8h EV

2g-250mg/12h
EV DD

2g-250mg/12h
EV DD

25mg/Kg/12h EV 25mg/Kg/12-24h
EV

75-15 mg/Kg
AD + 50% DD

2g-250mg/12h
DD

6mg/Kg/48h EV

6mg/Kg/48h EV

6mg/Kg/72h EV

6mg/Kg/72h EV 6mg/Kg/72h EV

0.5-1g/24h EV

0.5/24-48h EV

0.5/24-96h EV

0.5/24-96h EV

DOSIS DE ANTIBIOTICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DIALISIS

0.5/24-96h EV

DOSIS DE ANTIBIOTICOS EN INSUFICIENCIA RENAL Y EN PACIENES EN DIALISIS