Not On Dialysis
CrCl >50 mL/min: 1gm q8hr
CrCl 30-50 mL/min: 1gm q8hr
CrCl 10-29 mL/min: 1gm q12hr
CrCl <10 mL/min: 1gm q24hr
CrCl >50 mL/min: 2gm q8hr
CrCl 30-50 mL/min: 2gm q8hr
CrCl 10-29 mL/min: 2gm q12hr
CrCl <10 mL/min: 2gm q24hr
Intermittent Hemodialysis (IHD)
1gm qPM
Continuous Ambulatory Peritoneal Dialysis (CAPD)
1gm q24hr
2gm q24hr
Continuous Renal Replacement Dosing
2gm IV q12h
Note
For all beta-lactams, if patient weighs >30% IBW, consider using upper end of dosing recommendations.