What is the recommended dosing schedule for Zosyn (piperacillin/tazobactam) for the treatment of an Extended-Spectrum Beta-Lactamase (ESBL) urinary tract infection?

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Zosyn (Piperacillin-Tazobactam) Dosing for ESBL Urinary Tract Infections

For ESBL urinary tract infections, the recommended Zosyn (piperacillin-tazobactam) dosing is 3.375 g IV every 6 hours for 7-10 days. 1

Standard Dosing Regimen

  • For adults with normal renal function, Zosyn should be administered at 3.375 g IV every 6 hours (totaling 13.5 g daily) by intravenous infusion over 30 minutes 1
  • The usual duration of treatment for urinary tract infections is 7 to 10 days 1
  • Piperacillin-tazobactam has shown efficacy against ESBL-producing organisms in urinary tract infections, particularly when the isolate shows in vitro susceptibility 2, 3

Dosing in Renal Impairment

  • For patients with creatinine clearance 20-40 mL/min: 2.25 g IV every 6 hours 1
  • For patients with creatinine clearance <20 mL/min: 2.25 g IV every 8 hours 1
  • For hemodialysis patients: 2.25 g IV every 12 hours plus an additional 0.75 g after each dialysis session 1
  • For CAPD patients: 2.25 g IV every 12 hours 1

Clinical Efficacy for ESBL UTIs

  • Studies have shown clinical cure rates of approximately 74-89% when using piperacillin-tazobactam for non-bacteremic ESBL urinary tract infections 2, 3
  • The best results are seen in urinary tract infections (100% cure rate in some studies), compared to intra-abdominal infections (70%) 3
  • Clinical outcomes are generally better when the ESBL-producing organism has a minimum inhibitory concentration (MIC) ≤4 μg/mL for piperacillin-tazobactam 3

Treatment Duration

  • Short-course therapy (≤7 days) has shown similar efficacy to longer courses (>7 days) for complicated UTIs caused by ESBL-producing organisms 4
  • In one study, 30-day mortality was 5.7% in the short treatment group versus 5% in the long treatment group, with no significant differences 4
  • The combined outcome of mortality or reinfection at 30 days was also similar between short and long treatment groups (8.6% vs. 10%) 4

Alternative Treatment Options

  • Carbapenems (ertapenem, meropenem, imipenem) are considered first-line therapy for ESBL infections but should be used judiciously to prevent resistance 5, 2
  • Aminoglycosides (amikacin, gentamicin) may be effective alternatives for ESBL UTIs, with some studies showing comparable efficacy to carbapenems 6, 7
  • Fosfomycin has in vitro activity against ESBL-producing organisms and may be useful for uncomplicated cystitis when other oral agents are not available 5

Important Clinical Considerations

  • Always confirm susceptibility of the ESBL-producing organism to piperacillin-tazobactam before using it as definitive therapy 2, 3
  • Treatment failures are more common in high-inoculum infections or when source control is inadequate 3
  • For bacteremic ESBL infections, carbapenems are still preferred over piperacillin-tazobactam due to higher failure rates with the latter in bloodstream infections 2
  • Consider local resistance patterns when selecting empiric therapy for suspected ESBL infections 5

Pediatric Dosing

  • For children >9 months and <40 kg: 112.5 mg/kg (100 mg piperacillin/12.5 mg tazobactam) IV every 8 hours 1
  • For children 2-9 months: 90 mg/kg (80 mg piperacillin/10 mg tazobactam) IV every 8 hours 1
  • Children weighing >40 kg should receive the adult dose 1

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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