Desired vancomycin trough serum concentration for treating invasive methicillin-resistant Staphylococcal infections
- PMID: 23652479
- DOI: 10.1097/INF.0b013e318299f75c
Desired vancomycin trough serum concentration for treating invasive methicillin-resistant Staphylococcal infections
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.
Comment in
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Lower vancomycin serum trough concentrations might not be the answer.Pediatr Infect Dis J. 2013 Dec;32(12):1403-4. doi: 10.1097/INF.0000000000000003. Pediatr Infect Dis J. 2013. PMID: 24569315 Free PMC article. No abstract available.
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Reply: To PMID 23652479.Pediatr Infect Dis J. 2013 Dec;32(12):1404. doi: 10.1097/INF.0000000000000037. Pediatr Infect Dis J. 2013. PMID: 24569316 No abstract available.
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