Aminoglycoside dosing in obese puerperal women

We compared serum aminoglycoside levels in two groups of obese puerperal women being treated for endometritis. In these obese puerperal women (weights as much as 100 kg), the aminoglycoside dose did not have to be adjusted for excess weight initially, but it seems that determination of antibiotic levels should be performed in view of the large doses.