{"id":90,"date":"2023-08-29T13:08:55","date_gmt":"2023-08-29T13:08:55","guid":{"rendered":"https:\/\/www.merckconnect.com\/zerbaxa\/?page_id=90"},"modified":"2026-03-24T09:31:16","modified_gmt":"2026-03-24T09:31:16","slug":"frequently-asked-questions","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/zerbaxa\/frequently-asked-questions\/","title":{"rendered":"Frequently asked questions"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"a8a71beef-9b24-4bee-b3e4-0b58a2ef42ff\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:36px;--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:24px;--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Frequently asked questions<\/strong><\/h1><\/div>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px;height:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-accordion-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/accordion\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>What are the Indications and Usage for ZERBAXA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p><br>ZERBAXA\u00ae (ceftolozane and tazobactam) is indicated for the treatment of adult patients (18 years and older) with hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia (HABP\/VABP), caused by the following susceptible Gram-negative microorganisms:&nbsp;<em>Enterobacter cloacae, Escherichia coli, Haemophilus influenzae, Klebsiella oxytoca, Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas aeruginosa,&nbsp;<\/em>and&nbsp;<em>Serratia marcescens.<\/em><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>ZERBAXA is indicated for the treatment of adult and pediatric patients (birth to less than 18 years old) with complicated urinary tract infections (cUTI), including pyelonephritis, caused by the following susceptible Gram-negative microorganisms:&nbsp;<em>Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis,&nbsp;<\/em>and&nbsp;<em>Pseudomonas aeruginosa.<\/em><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>ZERBAXA used in combination with metronidazole is indicated for the treatment of adult and pediatric patients (birth to less than 18 years old) with complicated intra-abdominal infections (cIAI) caused by the following susceptible Gram-negative and Gram-positive microorganisms:&nbsp;<em>Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas aeruginosa, Bacteroides fragilis, Streptococcus anginosus, Streptococcus constellatus,&nbsp;<\/em>and&nbsp;<em>Streptococcus salivarius.<\/em><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid360-heading\" id=\"aa85935ab-3720-4ffb-821e-ad9ca53d85b7\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Usage<\/strong><\/h3><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>To reduce the development of drug-resistant bacteria and maintain the effectiveness of ZERBAXA and other antibacterial drugs, ZERBAXA should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>What is the recommended dosing for ZERBAXA when treating adult patients (18 years and older) with HABP\/VABP?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p><br>The recommended dose of ZERBAXA in adult patients 18 years and older with HABP\/VABP and creatinine clearance (CrCl)<sup>a<\/sup> greater than <span class=\"no-wrap-text\">50 mL\/min<\/span> is <span class=\"no-wrap-text\">3 grams<\/span> (two&nbsp;<span class=\"no-wrap-text\">1.5-g&nbsp;vials<\/span>) over <span class=\"no-wrap-text\">1-hour<\/span> period intravenously every 8 hours for 8 to 14 days. The duration of therapy should be guided by the severity and site of infection and the patient\u2019s clinical and bacteriological progress.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>Renal dosing adjustments for adult patients (18 years and older) with HABP\/VABP per estimated CrCl (mL\/min)<sup>a,b<\/sup><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-274f5930-abc9-4e5a-b6d7-2398726dacd5\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-274f5930-abc9-4e5a-b6d7-2398726dacd5\"><ul class=\"first-level\"><li><strong>30 to 50 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">1.5 g<\/span> (<span class=\"no-wrap-text\">1 g <\/span>and <span class=\"no-wrap-text\">0.5 g<\/span>) intravenously every 8 hours for 8 to 14 days.<\/li><li><strong>15 to 29 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">750 mg<\/span> (<span class=\"no-wrap-text\">500 mg<\/span> and <span class=\"no-wrap-text\">250 mg<\/span>) intravenously every 8 hours for 8 to 14 days.<\/li><li>For adult patients (18 years and older) with&nbsp;<strong>end-stage renal disease<\/strong>&nbsp;on hemodialysis: a single loading dose of <span class=\"no-wrap-text\">2.25 g <\/span>(<span class=\"no-wrap-text\">1.5 g<\/span> and <span class=\"no-wrap-text\">0.75 g<\/span>) followed by a&nbsp;<span class=\"no-wrap-text\">450-mg<\/span>&nbsp;(<span class=\"no-wrap-text\">300 mg<\/span> and <span class=\"no-wrap-text\">150 mg<\/span>) maintenance dose administered intravenously every 8 hours for the remainder of the treatment period (on hemodialysis days, administer the dose at the earliest possible time following completion of dialysis).<\/li><li>The duration of therapy should be guided by the severity and site of infection and the patient&#8217;s clinical and bacteriological progress.<\/li><li>For patients with changing renal function, monitor CrCl at least daily and adjust dosage of ZERBAXA accordingly.<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Creatinine Clearance (CrCl) estimated using Cockcroft-Gault formula.<\/p>\n\n\n<p class=\"has-small-font-size\"><sup>b<\/sup>All doses of ZERBAXA are administered over 1 hour.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>To view complete dosing information, visit the <a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/dosing-administration\/\" aria-label=\"#\">Dosing overview<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>What is the recommended dosing for ZERBAXA when treating adult patients (18 years and older) with cIAI and cUTI?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<div class=\"vivid360-heading\" id=\"a42baa85e-76ec-44d8-8b24-c8eb3f9f4024\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Dosage for adult patients (18 years and older) with cIAI and cUTI with CrCl<sup>a<\/sup> greater than 50 mL\/min<\/h3><\/div>\n\n\n<p>The duration of therapy should be guided by the severity and site of infection and the patient&#8217;s clinical and bacteriological progress.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:65%\">\n\n<figure class=\"wp-block-flexible-table-block-table is-scroll-on-mobile mb-0\"><table class=\"has-primary-background-color has-background\" style=\"border-collapse:collapse;border-width:1px;border-style:solid\"><thead><tr><th style=\"color:#FFF;background-color:#bf5411;font-size:16px;border-width:1px;border-style:solid;padding:5px 10px;border-right-color:#FFF;line-height:1.2\"><span class=\"no-wrap-text\">Infection<\/span><\/th><th style=\"color:#FFF;background-color:#bf5411;font-size:16px;border-width:1px;border-style:solid;padding:5px 10px;border-right-color:#FFF;line-height:1.2;text-align:center\"><span class=\"no-wrap-text\">Dose<\/span><\/th><th style=\"color:#FFF;background-color:#bf5411;font-size:16px;border-width:1px;border-style:solid;padding:5px 10px;border-right-color:#FFF;line-height:1.2;text-align:center\"><span class=\"no-wrap-text\">Frequency<\/span><\/th><th style=\"color:#FFF;background-color:#bf5411;font-size:16px;border-width:1px;border-style:solid;padding:5px 10px;border-right-color:#FFF;line-height:1.2;text-align:center\"><span class=\"no-wrap-text\">Infusion<br><\/span> time<\/th><th style=\"color:#FFF;background-color:#bf5411;font-size:16px;border-width:1px;border-style:solid;padding:5px 10px;line-height:1.2;text-align:center\"><strong><span class=\"no-wrap-text\">Duration of<\/span><\/strong><br><strong><span class=\"no-wrap-text\">treatment<\/span><\/strong><sup><span class=\"no-wrap-text\">c<\/span><\/sup><\/th><\/tr><\/thead><tbody><tr><td style=\"font-size:16px;padding:5px 10px;border-color:#435363;color:#000;line-height:1.2\"><span class=\"no-wrap-text\">Complicated<\/span> intra-<span class=\"no-wrap-text\">abdominal<\/span> <span class=\"no-wrap-text\">infection<sup>b<\/sup><\/span><\/td><td style=\"font-size:16px;padding:5px 10px;border-color:#435363;color:#000;text-align:center;line-height:1.2\"><span class=\"no-wrap-text\">1.5 g<\/span><\/td><td style=\"font-size:16px;padding:5px 10px;border-color:#435363;color:#000;text-align:center;line-height:1.2\">Every <br>8 hours<\/td><td style=\"font-size:16px;padding:5px 10px;border-color:#435363;color:#000;text-align:center;line-height:1.2\">1 hour<\/td><td style=\"font-size:16px;padding:5px 10px;border-color:#435363;color:#000;text-align:center;line-height:1.2\">4-14 days<\/td><\/tr><tr><td style=\"font-size:16px;color:#000;background-color:#e6e7e8;padding:5px 10px;border-color:#435363;line-height:1.2\"><span class=\"no-wrap-text\">Complicated<\/span> <span class=\"no-wrap-text\">urinary<\/span> <span class=\"no-wrap-text\">tract<\/span>&nbsp;<span class=\"no-wrap-text\">infections,<\/span> <span class=\"no-wrap-text\">including<\/span> <span class=\"no-wrap-text\">pyelonephritis<\/span><\/td><td style=\"font-size:16px;color:#000;background-color:#e6e7e8;padding:5px 10px;border-color:#435363;text-align:center;line-height:1.2\"><span class=\"no-wrap-text\">1.5 g<\/span><\/td><td style=\"font-size:16px;color:#000;background-color:#e6e7e8;padding:5px 10px;border-color:#435363;text-align:center;line-height:1.2\">Every <br>8 hours<\/td><td style=\"font-size:16px;color:#000;background-color:#e6e7e8;padding:5px 10px;border-color:#435363;text-align:center;line-height:1.2\">1 hour<\/td><td style=\"font-size:16px;color:#000;background-color:#e6e7e8;padding:5px 10px;border-color:#435363;text-align:center;line-height:1.2\">7 days<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<\/div>\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\"><\/div>\n\n<\/div>\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--tablet-spacer:2px;--mobile-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Creatinine Clearance (CrCl) estimated using Cockcroft-Gault formula.<br><sup>b<\/sup>Used in conjunction with metronidazole <span class=\"no-wrap-text\">500 mg<\/span> intravenously every 8 hours.<br><sup>c<\/sup>The duration of therapy should be guided by the severity and site of infection and the patient\u2019s clinical and bacteriological progress.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Dosage adjustments in adult patients (18 years and older) with renal impairment<\/strong><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-e95cf6be-fff2-43d6-9f91-e8267ffe5d34\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-e95cf6be-fff2-43d6-9f91-e8267ffe5d34\"><ul class=\"first-level\"><li>Dose adjustment is required for adult patients (18 years and older) with CrCl <span class=\"no-wrap-text\">50 mL\/min<\/span> or less. All doses of ZERBAXA are administered over 1 hour. The duration of therapy should be guided by the severity and site of infection and the patient&#8217;s clinical and bacteriological progress. For patients with changing renal function, monitor CrCl at least daily and adjust the dosage of ZERBAXA accordingly.<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Renal dosing adjustments for adult patients (18 years and older) with cIAI and cUTI with CrCl <span class=\"no-wrap-text\">50 mL\/min<\/span> or less<sup>a,b<\/sup><\/strong><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-b65308fe-818d-4543-a3b2-9c6d05b55d4c\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-b65308fe-818d-4543-a3b2-9c6d05b55d4c\"><ul class=\"first-level\"><li><strong>30 to 50 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">750 mg<\/span> (<span class=\"no-wrap-text\">500 mg<\/span> and <span class=\"no-wrap-text\">250 mg<\/span>) intravenously every 8 hours<\/li><li><strong>15 to 29 CrCl (mL\/min)&nbsp;<\/strong><span class=\"no-wrap-text\">375 mg<\/span> (<span class=\"no-wrap-text\">250 mg<\/span> and <span class=\"no-wrap-text\">125 mg<\/span>) intravenously every 8 hours<\/li><li>For adult patients (18 years and older) with&nbsp;<strong>end-stage renal disease<\/strong>&nbsp;(ESRD) on hemodialysis (HD): a single loading dose of <span class=\"no-wrap-text\">750 mg<\/span> (500 mg and <span class=\"no-wrap-text\">250 mg<\/span>) followed by a <span class=\"no-wrap-text\">150 mg<\/span> (<span class=\"no-wrap-text\">100 mg<\/span> and <span class=\"no-wrap-text\">50 mg<\/span>) maintenance dose administered intravenously every 8 hours for the remainder of the treatment period (on hemodialysis days, administer the dose at the earliest possible time following completion of dialysis).<\/li><li>The duration of therapy should be guided by the severity and site of infection and the patient\u2019s clinical and bacteriological progress.<\/li><li>For patients with changing renal function, monitor CrCl at least daily and adjust dosage of ZERBAXA accordingly.<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Creatinine Clearance (CrCl) estimated using Cockcroft-Gault formula.<\/p>\n\n\n<p class=\"has-small-font-size\"><sup>b<\/sup>All doses of ZERBAXA are administered over 1 hour.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>To view complete dosing information, visit the <a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/dosing-administration\/\" aria-label=\"#\">Dosing overview<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>What is the recommended dosing for ZERBAXA when treating pediatric patients with cIAI and cUTI?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<div class=\"vivid360-heading\" id=\"a16d3f8ac-e3dc-4eba-bfb0-4e991fa5ea0d\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Dosage for pediatric patients (birth to less than 18 years of age) with eGFR<sup>a<\/sup> greater than <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span><\/h3><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>The duration of therapy should be guided by the severity and site of infection and the patient&#8217;s clinical and bacteriological progress.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>There is insufficient information to recommend a dosage regimen for pediatric patients with HABP\/VABP.<\/p>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:65%\">\n\n<figure class=\"wp-block-flexible-table-block-table is-content-justification-left mt-0\"><table class=\"\"><thead><tr><th colspan=\"2\" style=\"background-color:#bf5411;color:#FFF;border-color:#435363\"> Complicated intra-abdominal infections<sup>b<\/sup><\/th><\/tr><\/thead><tbody><tr><td style=\"color:#000;border-color:#435363\"><strong>Dose (g)<\/strong><\/td><td style=\"color:#000;border-color:#435363\"><span class=\"no-wrap-text\">30 mg\/kg<\/span> up to a maximum dose of <span class=\"no-wrap-text\">1.5g<sup>c<\/sup><\/span><\/td><\/tr><tr><td style=\"background-color:#e6e7e8;color:#000;border-color:#435363\"><strong>Frequency<\/strong><\/td><td style=\"background-color:#e6e7e8;color:#000;border-color:#435363\">Every 8 hours<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363\"><strong>Infusion&nbsp;<span class=\"no-wrap-text\">time<\/span><\/strong><\/td><td style=\"color:#000;border-color:#435363\">1 hour<\/td><\/tr><tr><td style=\"background-color:#e6e7e8;color:#000;border-color:#435363\"><strong>Duration of treatment<\/strong><\/td><td style=\"background-color:#e6e7e8;color:#000;border-color:#435363\">5-14 hours<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n<figure class=\"wp-block-flexible-table-block-table mt-0 mb-0\"><table class=\"\" style=\"border-color:#435363\"><thead><tr><th colspan=\"2\" style=\"color:#FFF;background-color:#bf5411\">Complicated urinary tract infections, including pyelonephritis<\/th><\/tr><\/thead><tbody><tr><td style=\"color:#000;border-color:#435363\"><strong>Dose (g)<\/strong><\/td><td style=\"color:#000;border-color:#435363\">30 mg\/kg up to a maximum dose of <span class=\"no-wrap-text\">1.5g<sup>c<\/sup><\/span><\/td><\/tr><tr><td style=\"background-color:#e6e7e8;border-color:#435363;color:#000\"><strong>Frequency<\/strong><\/td><td style=\"background-color:#e6e7e8;border-color:#435363;color:#000\">Every 8 hours<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363\"><strong>Infusion&nbsp;<span class=\"no-wrap-text\">time<\/span><\/strong><\/td><td style=\"color:#000;border-color:#435363\">1 hour<\/td><\/tr><tr><td style=\"background-color:#e6e7e8;border-color:#435363;color:#000\"><strong>Duration of treatment<\/strong><\/td><td style=\"background-color:#e6e7e8;border-color:#435363;color:#000\">7-14 hours<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<\/div>\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\"><\/div>\n\n<\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Estimated GFR using an age-appropriate equation for use in the pediatric population.<br><sup>b<\/sup>Used in conjunction with metronidazole.<br><sup>c<\/sup>Pediatric patients weighing greater than 50 kg should not exceed a maximum dose of <span class=\"no-wrap-text\">1.5 g<\/span>.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid360-heading\" id=\"aa30c827b-992d-4804-bdb7-cc187ccb58e3\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Dosage adjustments in pediatric patients (birth to less than 18 years of age) with renal impairment<\/strong><\/h3><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>Dosage adjustment of ZERBAXA in pediatric patients (birth to less than 18 years of age) with eGFR <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or less has not been determined.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>ZERBAXA is not recommended in pediatric patients who have an eGFR <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or less.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>To view complete dosing information, visit the <a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/dosing-administration\/\" aria-label=\"#\">Dosing overview<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>What is the Important Safety Information for ZERBAXA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p><strong>Patients with renal impairment<\/strong>: Decreased efficacy of ZERBAXA has been observed in patients with baseline CrCl of 30 to <span class=\"no-wrap-text\">\u226450 mL\/min.<\/span> In a clinical trial of adult patients, patients with cIAIs with CrCl <span class=\"no-wrap-text\">&gt;50 mL\/min<\/span> had a clinical cure rate of 85.2% when treated with ZERBAXA plus metronidazole vs 87.9% when treated with meropenem. In the same trial, patients with CrCl 30 to <span class=\"no-wrap-text\">\u226450 mL\/min<\/span> had a clinical cure rate of 47.8% when treated with ZERBAXA plus metronidazole vs 69.2% when treated with meropenem. A similar trend was also seen in the cUTI trial. Dose adjustment is required for adult patients with CrCl <span class=\"no-wrap-text\">50 mL\/min<\/span> or less. All doses of ZERBAXA are administered over 1 hour. Monitor CrCl at least daily in patients with changing renal function and adjust the dose of ZERBAXA accordingly.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Hypersensitivity<\/strong>: ZERBAXA is contraindicated in patients with known serious hypersensitivity to the components of ZERBAXA (ceftolozane\/tazobactam), piperacillin\/tazobactam, or other members of the beta-lactam class. Serious and occasionally fatal hypersensitivity (anaphylactic) reactions have been reported in patients receiving beta-lactam antibacterials. Before initiating therapy with ZERBAXA, make careful inquiry about previous hypersensitivity reactions to cephalosporins, penicillins, or other beta-lactams. If an anaphylactic reaction to ZERBAXA occurs, discontinue use and institute appropriate therapy.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong><em>Clostridioides difficile<\/em>-associated diarrhea (CDAD)<\/strong>, ranging from mild diarrhea to fatal colitis, has been reported with nearly all systemic antibacterial agents, including ZERBAXA. Careful medical history is necessary because CDAD has been reported to occur more than 2 months after the administration of antibacterial agents. If CDAD is confirmed, antibacterial use not directed against C.&nbsp;<em>difficile<\/em>&nbsp;should be discontinued, if possible.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Development of drug-resistant bacteria<\/strong>: Prescribing ZERBAXA in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and risks the development of drug-resistant bacteria.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Adverse reactions in adult patients with HABP\/VABP<\/strong>: The most common adverse reactions occurring in \u22655% of adult patients receiving ZERBAXA in the HABP\/VABP trial were hepatic transaminase increased (11.9%), renal impairment\/renal failure (8.9%), and diarrhea (6.4%).<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Adverse reactions in adult patients with cIAI or cUTI<\/strong>: The most common adverse reactions occurring in \u22655% of adult patients receiving ZERBAXA in the cUTI and cIAI trials were headache (5.8%) in the cUTI trial, and nausea (7.9%), diarrhea (6.2%), and pyrexia (5.6%) in the cIAI trial.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Adverse reactions in pediatric patients with cIAI or cUTI<\/strong>: The most common adverse reactions occurring in \u22657% of pediatric patients receiving ZERBAXA in the cIAI trial were diarrhea (17%), thrombocytosis (16%), pyrexia (13%), abdominal pain (11%), vomiting (10%), increased aspartate aminotransferase (7%), and anemia (7%). The most common adverse reactions occurring in \u22657% of pediatric patients receiving ZERBAXA in the cUTI trial were thrombocytosis (9%), leukopenia (8%), diarrhea (7%), and pyrexia (7%).<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Pediatric Use<\/strong>: There is insufficient information to recommend dosage adjustment for pediatric patients younger than 18 years of age with cIAI and cUTI with eGFR <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or less. ZERBAXA is not recommended in pediatric patients who have an eGFR <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or less. Pediatric patients born at term or pre-term may not have an eGFR of <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or greater at birth or within the first few months of life.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>For full safety information on ZERBAXA, please see <a href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/z\/zerbaxa\/zerbaxa_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"#\">Prescribing information<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>How should dosing for ZERBAXA be adjusted for adult patients (18 years and older) with renal impairment?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p><strong>Renal dosing adjustments for adult patients (18 years and older) with cIAI and cUTI with CrCl <span class=\"no-wrap-text\">50 mL\/min<\/span> or less<sup>a,b<\/sup><\/strong><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-97cb2335-f0b7-4354-bed6-fc6592842a10\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-97cb2335-f0b7-4354-bed6-fc6592842a10\"><ul class=\"first-level\"><li><strong>30 to 50 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">750 mg<\/span> (<span class=\"no-wrap-text\">500 mg<\/span> and <span class=\"no-wrap-text\">250 mg<\/span>) intravenously every 8 hours<\/li><li><strong>15 to 29 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">375 mg<\/span> (<span class=\"no-wrap-text\">250 mg<\/span> and <span class=\"no-wrap-text\">125 mg<\/span>) intravenously every 8 hours<\/li><li>For adult patients (18 years and older) with&nbsp;<strong>end-stage renal disease<\/strong>&nbsp;(ESRD) on hemodialysis (HD): a single loading dose of 750 mg (<span class=\"no-wrap-text\">500 mg<\/span> and <span class=\"no-wrap-text\">250 mg<\/span>) followed by a 150-mg (<span class=\"no-wrap-text\">100 mg<\/span> and <span class=\"no-wrap-text\">50 mg<\/span>) maintenance dose administered intravenously every 8 hours for the remainder of the treatment period (on hemodialysis days, administer the dose at the earliest possible time following completion of dialysis).<\/li><li>The duration of therapy should be guided by the severity and site of infection and the patient&#8217;s clinical and bacteriological progress.<\/li><li>For patients with changing renal function, monitor CrCl at least daily and adjust dosage of ZERBAXA accordingly.<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Creatinine Clearance (CrCl) estimated using Cockcroft-Gault formula.<\/p>\n\n\n<p class=\"has-small-font-size\"><sup>b<\/sup>All doses of ZERBAXA are administered over 1 hour.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Renal dosing adjustments for adult patients (18 years and older) with HABP\/VABP per estimated CrCl (mL\/min)<sup>a,b<\/sup><\/strong><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-c5a0971e-38a5-4bc2-850d-1581c8ec1c0e\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-c5a0971e-38a5-4bc2-850d-1581c8ec1c0e\"><ul class=\"first-level\"><li><strong>30 to 50 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">1.5 g<\/span> (<span class=\"no-wrap-text\">1 g<\/span> and <span class=\"no-wrap-text\">0.5 g<\/span>) intravenously every <span class=\"no-wrap-text\">8 hours<\/span> for 8 to <span class=\"no-wrap-text\">14 days<\/span>.<\/li><li><strong>15 to 29 CrCl (mL\/min)<\/strong>&nbsp;<span class=\"no-wrap-text\">750 mg<\/span> (<span class=\"no-wrap-text\">500 mg<\/span> and <span class=\"no-wrap-text\">250 mg<\/span>) intravenously every <span class=\"no-wrap-text\">8 hours<\/span> for 8 to 14 days.<\/li><li>For adult patients (18 years and older) with&nbsp;<strong>end-stage renal disease<\/strong>&nbsp;on hemodialysis: a single loading dose of <span class=\"no-wrap-text\">2.25 g<\/span> (<span class=\"no-wrap-text\">1.5 g<\/span> and <span class=\"no-wrap-text\">0.75 g<\/span>) followed by a <span class=\"no-wrap-text\">450-mg<\/span> (<span class=\"no-wrap-text\">300 mg <\/span>and <span class=\"no-wrap-text\">150 mg<\/span>) maintenance dose administered intravenously every 8 hours for the remainder of the treatment period (on hemodialysis days, administer the dose at the earliest possible time following completion of dialysis).<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Creatinine Clearance (CrCl) estimated using Cockcroft-Gault formula.<\/p>\n\n\n<p class=\"has-small-font-size\"><sup>b<\/sup>All doses of ZERBAXA are administered over 1 hour.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>To view complete dosing information, visit the <a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/dosing-administration\/\" aria-label=\"#\">Dosing overview<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>How should dosing of ZERBAXA for use in cUTI or cIAI be adjusted for pediatric patients with renal impairment?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p>Dosage adjustment of ZERBAXA in pediatric patients (birth to less than 18 years of age) with eGFR <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or less has not been determined.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>ZERBAXA is not recommended in pediatric patients who have an eGFR <span class=\"no-wrap-text\">50 mL\/min\/1.73 m<sup>2<\/sup><\/span>&nbsp;or less.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p>To view complete dosing information, visit the <a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/dosing-administration\/\" aria-label=\"#\">Dosing overview<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>Why were adult patients with HABP\/VABP given a 3-g dose of ZERBAXA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p>The 3 g dose was selected based on a Phase 1 PK\/PD study where the <span class=\"no-wrap-text\">3 g<\/span> dose achieved target concentrations in epithelial lining fluid for 100% of the dosing interval.<sup>1<\/sup><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/dosing-administration\/?customize_changeset_uuid=#Dosing-3\" aria-label=\"#\">View data from a Phase 1 PK\/PD study<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>What\u2019s the difference between hospital-acquired bacterial pneumonia (HABP), ventilator-associated bacterial pneumonia (VABP), and ventilated hospital-acquired bacterial pneumonia (vHABP)?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p><strong>HABP<\/strong>&nbsp;is a bacterial pneumonia that occurs 48 hours or more after admission; which was not incubating at the time of admission; and is not associated with mechanical ventilation.<sup>2,3<\/sup><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>VABP<\/strong>&nbsp;is a pneumonia that arises more than 48 hours after endotracheal intubation.<sup>2,3<\/sup><\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>vHABP<\/strong>&nbsp;is a bacterial pneumonia that occurs 48 hours or more after admission; which was not incubating at the time of admission; where the patient subsequently experiences acute respiratory failure and requires ventilation.<sup>2,3<\/sup><\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>Where can I find clinical data for ZERBAXA in HABP\/VABP?<\/strong><sup> <strong>4<\/strong><\/sup><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p>ZERBAXA was studied in a Phase 3, double-blind, multinational comparator-controlled noninferiority HABP\/VABP study vs meropenem.<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/clinical-efficacy-habp-vabp\/\" aria-label=\"#\">View data from the pivotal HABP\/VABP study<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\"><h4 class=\"vivid360-block-accordion-title\"><strong>Which patients were included in the HABP\/VABP study?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n\n<p>The baseline characteristics of patients in the study were:<\/p>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-ac244405-27cb-484d-8993-9f0186772b06\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-ac244405-27cb-484d-8993-9f0186772b06\"><ul class=\"first-level\"><li>100% ventilated<\/li><li>Critically ill, median APACHE II score of 17<\/li><li>77% hospitalized for \u22655 days<\/li><li>92% in the ICU<\/li><li>~13% failing current AB for HABP\/VABP<\/li><li>100% of the patients were over 18 years of age, with the median age being 62 years of age<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/clinical-efficacy-habp-vabp\/\" aria-label=\"#\">Learn more about the pivotal HABP\/VABP study<\/a>.<\/p>\n\n<\/div><\/details><\/div>\n\n\n\n<div style=\"border-width:1px 0;border-style:solid\" class=\"wp-block-vivid360-accordion has-medium-gray-border-color full-page-width faq-accordion\"><details class=\"vivid360-block-accordion-details\"><div class=\"summaryCustomColor\" id=\"summaryOpenBgClass\">default-sum-open-background-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseBgClass\">default-sum-close-background-color<\/div><div class=\"summaryCustomColor\" id=\"openCloseAccordionTitle\">false<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenHoverColorClass\">default-sum-open-hover-color<\/div><div class=\"summaryCustomColor\" id=\"summaryOpenFocusColorClass\">default-sum-open-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseFocusColorClass\">default-sum-close-focus-color<\/div><div class=\"summaryCustomColor\" id=\"summaryCloseHoverColorClass\">.default-sum-close-hover-color<\/div><summary class=\"vivid360-block-accordion-title-section  \n\t\t\t\tdefault-sum-close-background-color\" data-design-category=\"accordion\" aria-labelledby=\"vivid360-block-accordion-title-a2788eda-ff51-47a9-bd09-54ff092a87df\"><h4 class=\"vivid360-block-accordion-title\" id=\"vivid360-block-accordion-title-a2788eda-ff51-47a9-bd09-54ff092a87df\"><strong>What is the mechanism of action for ZERBAXA?<\/strong><\/h4><\/summary><div class=\"vivid360-block-accordion-text default-description-background-color\">\n<p>ZERBAXA\u00ae(ceftolozane and tazobactam) combines a novel cephalosporin that has bactericidal action with a proven beta-lactamase inhibitor. Ceftolozane inhibits select penicillin-binding proteins, while tazobactam irreversibly inhibits some beta-lactamases.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><a href=\"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/\" aria-label=\"#\">Learn more about the Mechanism of Action<\/a>.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p><strong>References<\/strong><\/p>\n\n\n\n<div class=\"vivid-block-list content-width  block-c415ba47-83d0-45d7-ba4a-749878f168a1 custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-c415ba47-83d0-45d7-ba4a-749878f168a1\"><ol class=\"first-level default-order\"><li>Caro L, Nicolau DP, De Waele JJ, et al. <em>J Antimicrob Chemother.<\/em> 2020;75(6):1546-1553<\/li><li>FDA Guidance for Industry. Revised June 2020. Accessed February 1, 2026. https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/hospital-acquired-bacterial-pneumonia-and-ventilator-associated-bacterial-pneumonia-developing-drugs <\/li><li>Kalil AC, et al. <em>Clin Infect Dis.<\/em> 2016;63(5):e61-e111.<\/li><li>Kollef MH, Nov\u00e1\u010dek M, Kivistik \u00dc, et al. <em>Lancet Infect Dis<\/em>. 2019;19(12):1299-1311.<\/li><\/ol><\/div>\n<\/div><\/details><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":750,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[267],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[296],"ga4_page_customer_journey_stage":[333],"ga4_page_customer_specialty":[358],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[522],"ga4_page_product":[706],"ga4_page_region":[749],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-90","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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