Cefepime
Renal

Renal

In the setting of rapidly improving/worsening renal function, calculations of eGFR are inaccurate, and dosing should be based on estimated renal function instead.

If worsening renal function, actual GFR is likely lower than calculated.

If improving renal function, actual GFR is likely higher than calculated eGFR.

Not On Dialysis (EGFR)

0 - 10 eGFR

1g IV q24h

10 - 30 eGFR

2g IV q24h

30 - 60 eGFR

2g IV q12h

60+ eGFR

2g IV q8h

Intermittent Dialysis

1g IV q24h, dose post-HD on dialysis days

Continuous Dialysis

2g IV q8h