GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Ceftolozane / tazobactam (Zerbaxa)

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

Record caution: Label-version change: the May 2026 DailyMed pediatric renal table is now local. Older pediatric evidence-gap statements remain historical; read the new age-specific source before selecting a regimen.

U.S. labeling, UCSF and Nebraska distinguish indication and infusion duration. Nebraska uses a 4-hour inpatient infusion; the label uses 1 hour. Keep each renal table with its indication and infusion method.

Check source scope before reading a dose

UCSF - ZERBAXA: urinary versus severe infection

Product / population
Adults; ceftolozane/tazobactam total combination doses IV; ID/stewardship restricted.
Renal method
CrCl in mL/min where specified; no equation inferred.
Source revision
Revision date not stated in the reviewed page.
Retrieved
2026-09-05
Local review status
Locally included source-specific summary. Regimen differences are not automatically resolved.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

One-hour labeling versus institutional extended infusion

The RX label table uses a one-hour infusion. The UCSF protocol uses a three-hour infusion. Both also separate urinary/intra-abdominal infection from pneumonia/severe infection.

What to reconcile: Keep the selected source dose, indication, renal band, loading instruction and infusion duration together.

Source difference identified; final patient-specific adjudication required.

Open this note and its source references

Pediatric renal guidance changed after the RX mirror

The older mirror lacks the age-specific renal regimens now supplied by the May 2026 label.

What to reconcile: Use the new pediatric card for ages two and older; verify indication, pediatric eGFR, weight caps and infusion time. Do not use adult Cockcroft-Gault bands as pediatric instructions.

Source-specific interpretation; independent clinician adjudication pending.

Open this note and its source references
Professional

UCSF - ZERBAXA: urinary versus severe infection

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UCSF Infectious Diseases Management Program · Adults; ceftolozane/tazobactam total combination doses IV; ID/stewardship restricted.

Renal method: CrCl in mL/min where specified; no equation inferred.
Source date: Revision date not stated in the reviewed page.
Retrieved: 2026-09-05

Locally included source-specific summary. Regimen differences are not automatically resolved.

Dosing / renal protocol and limits

Limits that apply to these rows

Loading and maintenance infusions all last 3 hours. This is the institutional prolonged-infusion strategy, not a silent replacement for labeling. No non-dialysis dose below the printed range is inferred.

Complicated UTI - combination IV amount over 3 hours
CrCl, mL/minSource-specific dose / instruction
>501.5 g every 8 hours
30-50750 mg every 8 hours
15-29375 mg every 8 hours
Pneumonia or severe infection - combination IV amount over 3 hours
CrCl, mL/minSource-specific dose / instruction
>503 g every 8 hours
30-501.5 g every 8 hours
15-29750 mg every 8 hours
Dialysis guidance - separate source-specific schedules
Ceftolozane/tazobactam dialysis
Dialysis setting / indicationSource-specific schedule
IHD - complicated UTI750 mg loading, then 150 mg every 8 hours
IHD - pneumonia/severe infection2.25 g loading, then 450 mg every 8 hours
Continuous HDNo regimen provided in the selected source
Read the retained text before reformatting

All listed infusions last 3 hours. For CrCl >50 / 30-50 / 15-29 mL/min:

  • Complicated UTI: total combination 1.5 g / 750 mg / 375 mg IV every 8 hours.
  • Pneumonia or severe infection: 3 g / 1.5 g / 750 mg IV every 8 hours.

IHD, complicated UTI: 750 mg loading, then 150 mg every 8 hours. IHD, pneumonia/severe infection: 2.25 g loading, then 450 mg every 8 hours. These loading and maintenance infusions also last 3 hours. The reviewed UCSF page provides no continuous-HD regimen. This institutional prolonged-infusion strategy is not silently substituted for the product label.

RDM30-007-ceftolozane-tazobactam-1 · Source locator: UCSF - ZERBAXA: urinary versus severe infection; renal/dosing sections and stated qualifiers

Source identity and provenance
Source
https://idmp.ucsf.edu/content/ceftolozane-tazobactam-zerbaxa
Retrieved
2026-09-05
Renal-function method
CrCl in mL/min where specified; no equation inferred.
Source date/version
Revision date not stated in the reviewed page.
Hash meaning
Locally authored summary text; not original SPL, HTML or PDF bytes
Local summary SHA-256
6e09ee1c5cc263fbf3934f5125c0694b981817817e7bc7a14e373cdb5aee0ada

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=ceftolozane-tazobactam&s1=RDM30-007-ceftolozane-tazobactam&h1=efb9431568d6de612925b6f03d7f037778f5fedc6b6420adf3b7f6e27e394f87