Ceftazidime-Avibactam
(Zavicefta)

IV  Ceftazidime-Avibactam (Zavicefta)

2.5 gr X3/d CrCl > 50 mL/min
1.25 gr X3/d CrCl 30-50 mL/min
0.94 gr X2/d CrCl 16-30 mL/min
0.94 gr X1/d CrCl 6-15 mL/min
0.94 gr x 1/48h CrCl< 6 mL/min
0.94 gr x 1/48h AD on dialysis day Hemodialysis
  • שילוב של צפטאזידים (2 גר) ואביבקטם (0.5 גר) – לכיסוי פתוגנים עמידים במיוחד כולל זני קלבסיאלה ופסוידומונאס עמידים למרופנם. נדרש ייעוץ זיהומיות.


הזלפה של כל מנה במשך שעתיים! 

 Pediatric dose (Dosage recommendations are based on the ceftazidime component)

Dose 40 mg ceftazidime/kg/dose every 8 hours Infants ≥3 to <6 months
Dose 50 mg ceftazidime/kg/dose every 8 hours; maximum dose: 2,000 mg ceftazidime/dose Infants ≥6 months, Children, and Adolescents <18 years

 

Pediatric adjustment for Kidney Impairment (eGFR according to Schwartz formula)

No dosage adjustments provided in the manufacturer's labeling Infants ≥3 months and Children <2 years
Children ≥2 years and Adolescents <18 years
No dosage adjustment necessary eGFR >50 mL/minute/1.73 m2
Dose 25 mg ceftazidime/kg/dose every 8 hours; maximum dose: 1,000 mg ceftazidime/dose eGFR 31 to 50 mL/minute/1.73 m2
Dose 19 mg ceftazidime/kg/dose every 12 hours; maximum dose: 750 mg ceftazidime/dose eGFR 16 to 30 mL/minute/1.73 m2
Dose 19 mg ceftazidime/kg/dose every 24 hours; maximum dose: 750 mg ceftazidime/dose eGFR 6 to 15 mL/minute/1.73 m2
Dose 19 mg ceftazidime/kg/dose every 48 hours; maximum dose: 750 mg ceftazidime/dose eGFR ≤5 mL/minute/1.73 m2