Attention: This is an archive version of the HELP CDSS for documentation purposes. It is neither updated nor actively maintained!
GFR>50 GFR 30-50 GFR <30 CHD CVVH
Cefazolin 3-4 x 2g 3 x 1 g 2 x 1 g 1 g pHD 2 x 2 g
Flucloxacillin 6 x 2 g / 4x 3 g 3 x 3 g 3 x 1-2 g 3 x 1 g 3 x 4 g
Daptomycin Use of the ideal body weight
1 x 10-12​ mg/kg 1 x 8-10​ mg/kg 1 x 8-10​ mg/kg q48h 1 x 8-10​ mg/kg pHD 1 x 8-10​ mg/kg q48h
Vancomycin Loading dose 25-30 mg/kg body weight (use of actual body weight)
Target level 15–20 mg/l or with continuous infusion 20-25 mg/l
Blood sampling for therapeutic drug monitoring before next administration or before dialysis
Maintenance dose depending on trough level 15-20 mg/kg every 8-12h or as a continuous infusion 1g pHD TDM TDM
Fosfomycin 3 x 5(-8*) g 3 x 3-5 g 2-3 x 2 g 4 g pHD 3 x 5 g (up to 8 g)
Cefalexin 3-4 x 1 g 3 x 0.5-1 g 2-3 x 500​ mg 2 x 0.5-1 g 3-4 x 1 g
Linezolid p. o. 2 x 600 mg
Cotrimoxazole p. o. 2-3 x 960 mg 2 x 960 mg 2 x 480 mg 1 x 480 mg 3 x 960 mg
Rifampicin p. o. 1 x 10 mg/kg distributed over 1-2 doses
Levofloxacin p.o. 1-2 x 500 mg 1-2 x 250 mg 1-2 x 0.125 mg 1 x 0.125 mg 1-2 x 500 mg
Doxycycline p. o. 1 x 200 mg
*for meningitis and life-threatening infections
Abbreviations:
CHD Chronic hemodialysis
CVVH Continuous venovenous hemofiltration
pHD after dialysis
q48h every 48 hours
TDM Therapeutic drug monitoring