OBJECTIVE:To provide reference for clinical rational use of piperacillin sulbactam for the anti-infection of Pseudomonas aeruginosa. METHODS: 105 inpatients with normal liver and kidney functions that the pathogen was diagnosed as P. aeruginosa and susceptible to PIP/SBT from Jul. 2013 to Jun. 2014 were chose, dosing regimens were collected, the minimum inhibitory concentration (MIC) of piperacillin sulbactam for P. aeruginosa was 1 mg/L based on a one compartment pharmacokinetic mode, the standard value of the percentage of the duration of plasma concentration more than MIC (T>MIC) to dosing interval time was 45%,T>MIC was calculated with pharmacokinetic formula of both single dose and multiple dose repeated intravenous administration to analyze the situation of reaching the standard of T>MIC; and the dosing interval time of the original scheme was prolonged appropriately to investigate the situation of reaching the standard of the percentage of (T>MIC) to dosing interval time. RESULTS: 47 patients’dosing regimens were given 3.0 g PIP/SBT once every 8 hours, and the others were given 3.0 g PIP/SBT once every 12 hours; for P. aeruginosa, the percentages of T>MIC to dosing interval time were respectively 99.93% and 73.13% with pharmacokinetic formula of single dose intravenous administration, and 99.98% and 68.08% with pharmacokinetic formula of multiple dose repeated intravenous administration; and the percentages of the interval time prolonged to 16 h were respectively 54.84% and 51.06%, both reached the standard value. CONCLUSIONS: Quantitative analysis of PK/PD prediction parameters can be used to evaluate and optimize the clinical dosing regimens and guide the clinical practice.