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Table 4 Vancomycin dosing and monitoring in patients with preserved renal function

From: Daily vancomycin dose requirements as a continuous infusion in obese versus non-obese SICU patients

 

Obese patients (n = 17)

Non-obese patients (n = 17)

P value

Goal concentration, 24 h, n

15

14

0.628

Serum concentration, 24 h, mg/L

20.6 (4.21)

19.6 (4.41)

0.494

Dose needed to achieve concentration of 20 mg/L, mg

3774 (1498)

4141 (1087)

0.420

Dose needed to achieve concentration of 20 mg/L, mg/kg

31.8 (14.5)

56.9 (17.9)

<0.001

Loading dose, mg

2985 (555)

1941 (370)

<0.001

Loading dose, mg/kg

24.6 (2.47)

25.9 (1.88)

0.09

Maintenance dose, mg

3676 (1131)

3882 (674)

0.523

Maintenance dose, mg/kg

30.8 (11.3)

53.4 (13.7)

<0.001

AUC24

496 (101)

471 (106)

0.494

CLvanc, L/h

7.86 (3.11)

8.62 (2.26)

0.420

CLvanc/CrCL

0.79 (0.11)

0.91 (0.21)

0.049

CLvanc/ABW, L/h/kg

0.09 (0.04)

0.12 (0.04)

0.0074

CLvanc/IBW, L/h/kg

0.12 (0.05)

0.12 (0.04)

0.404

CLvanc/TBW, L/h/kg

0.06 (0.03)

0.12 (0.04)

0.0001

  1. Results are presented as mean (SD) unless stated otherwise. AUC24 area under the concentration curve 24 h, CLvanc continuous infusion vancomycin clearance, CrCL creatinine clearance, ABW adjusted body weight, IBW ideal body weight, TBW total body weight