Ampicillin - Renal Dosing

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.

0 - 10 eGFR

1-2g IV q12-24h

10 - 50 eGFR

1-2g IV q6-12h

50+ eGFR

1-2g IV q4-6h

1-2g IV q12-24h, dose after HD on dialysis days

Load 2g then 1-2g IV q6-12h

1-2g IV q12h