16th May 2025

Mr Flemings is a 78-year-old gentleman who is being managed as an inpatient for infective endocarditis with amoxicillin 2g 4 hourly and Gentamicin 80mg twice daily.

Mr Flemings is a 78-year-old gentleman who is being managed as an inpatient for infective endocarditis with amoxicillin 2g 4 hourly and Gentamicin 80mg twice daily. He has had peak and trough gentamicin levels taken which came back as 6mg/L and 0.5mg/L respectively. What would be the most appropriate change to his gentamicin dosing going forward?

Select the SINGLE most appropriate option from the list below. Select ONE option only.