Bezlotoxumab

Dosing: Adult Antimicrobial Dosing, Non-dialysis

Indication Dose  Notes 
Secondary prevention from C. difficile infection  10 mg/kg x 1 cumulative life time dose 

No renal adjustment

In patients with a history of heart failure, bezlotoxumab use should be reserved for situations when the benefits outweigh risks.

Dosing: Antimicrobial Dosing in Intermittent & Continuous Hemodialysis

Indication

Dose 

Notes 

Secondary prevention from C. difficile infection 10 mg/kg x 1 cumulative life time dose 

No renal adjustment

In patients with a history of heart failure, bezlotoxumab use should be reserved for situations when the benefits outweigh risks.

Dialysis Notes

Intermittent HD assumes high-flux hemodialysis. CRRT assumes CVVHD with ultrafiltration rate 2L/h and residual native GFR < 10 mL/min. 

Restricted to ID or Antimicrobial Stewardship

Additonal criteria for inpatient administration: Must be expected to be hospitalized > 14 days after C. difficile episode 

References: