Cefazolin
Renal

Renal

Not On Dialysis

Group B Strep Prophylaxis, Uncomplicated Skin/Soft Tissue, Cystitis
  • 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

Pneumonia, Intra-abdominal Infections, Endocarditis
  • 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)

Group B Strep Prophylaxis, Uncomplicated Skin/Soft Tissue, Cystitis

1gm qPM

Pneumonia, Intra-abdominal Infections, Endocarditis
  • Standard dose: 2gm qPM
  • Alternative for discharge: 2gm/2gm/3gm 3x/wk post HD

Continuous Ambulatory Peritoneal Dialysis (CAPD)

Group B Strep Prophylaxis, Uncomplicated Skin/Soft Tissue, Cystitis

1gm q24hr

Pneumonia, Intra-abdominal Infections, Endocarditis

2gm q24hr

Continuous Renal Replacement Dosing

For all modalities

2gm IV q12h

Note

For all beta-lactams, if patient weighs >30% IBW, consider using upper end of dosing recommendations.