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. 2013 Oct;32(10):1077-9.
doi: 10.1097/INF.0b013e318299f75c.

Desired vancomycin trough serum concentration for treating invasive methicillin-resistant Staphylococcal infections

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Desired vancomycin trough serum concentration for treating invasive methicillin-resistant Staphylococcal infections

Adam Frymoyer et al. Pediatr Infect Dis J. 2013 Oct.

Abstract

Vancomycin area under the curve/minimal inhibitory concentration (AUC/MIC) >400 best predicts the outcome when treating invasive methicillin-resistant Staphylococcus aureus infection; however, trough serum concentrations are used clinically to assess the appropriateness of dosing. We used pharmacokinetic modeling and simulation to examine the relationship between vancomycin trough values and AUC/MIC in children receiving vancomycin 15 mg/kg every 6 hours and methicillin-resistant Staphylococcus aureus MIC of 1 μg/mL. A trough of 7-10 μg/mL predicted achievement of AUC/MIC >400 in >90% of children.

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