Cefuroxime - 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

250mg PO q24h

10+ eGFR

500mg PO BID

0 - 10 eGFR

0.75-1.5g IV q24h

10 - 20 eGFR

0.75-1.5g IV q12h

20+ eGFR

0.75-1.5g IV q8h

750-1500mg IV q24h, give dose after HD on dialysis days
750mg PO after HD

750-1500mg IV q8h