Compared with intermittent infusion, continuous infusion of vancomycin is cheaper and logistically more convenient, achieves target concentrations faster, results in less variability in serum vancomycin concentrations, requires less therapeutic drug monitoring and causes less nephrotoxicity. Given that critically ill patients may develop very large volumes of distribution as well as supranormal drug clearance, in this study it was shown, despite the limited number of patients studied, that to achieve a target plateau concentration of 25mg/L a daily dose of 3000 mg of vancomycin in continuous infusion is needed following an appropriate loading dose.
Beschreibung
Good example of nomogram for CI vancomycin to obtain target of 25mg/L
%0 Journal Article
%1 Jeurissen2011
%A Jeurissen, A.
%A Sluyts, I.
%A Rutsaert, R.
%D 2011
%J Int J Antimicrob Agents
%K vancomycin dosing drug
%N 1
%P 75--77
%R 10.1016/j.ijantimicag.2010.09.004
%T A higher dose of vancomycin in continuous infusion is needed in critically ill patients.
%U http://dx.doi.org/10.1016/j.ijantimicag.2010.09.004
%V 37
%X Compared with intermittent infusion, continuous infusion of vancomycin is cheaper and logistically more convenient, achieves target concentrations faster, results in less variability in serum vancomycin concentrations, requires less therapeutic drug monitoring and causes less nephrotoxicity. Given that critically ill patients may develop very large volumes of distribution as well as supranormal drug clearance, in this study it was shown, despite the limited number of patients studied, that to achieve a target plateau concentration of 25mg/L a daily dose of 3000 mg of vancomycin in continuous infusion is needed following an appropriate loading dose.
@article{Jeurissen2011,
abstract = {Compared with intermittent infusion, continuous infusion of vancomycin is cheaper and logistically more convenient, achieves target concentrations faster, results in less variability in serum vancomycin concentrations, requires less therapeutic drug monitoring and causes less nephrotoxicity. Given that critically ill patients may develop very large volumes of distribution as well as supranormal drug clearance, in this study it was shown, despite the limited number of patients studied, that to achieve a target plateau concentration of 25mg/L a daily dose of 3000 mg of vancomycin in continuous infusion is needed following an appropriate loading dose.},
added-at = {2013-01-08T18:51:05.000+0100},
author = {Jeurissen, A. and Sluyts, I. and Rutsaert, R.},
biburl = {https://www.bibsonomy.org/bibtex/2a4f4ba8ee7931c8001d4b6cb19eefb01/aorchid},
description = {Good example of nomogram for CI vancomycin to obtain target of 25mg/L},
doi = {10.1016/j.ijantimicag.2010.09.004},
file = {:ID_General/IntJAntimicrobAgents.37.75.pdf:PDF},
groups = {public},
institution = {Department of Microbiology, GZA St Vincentius Hospital, St Vincentiusstraat 20, 2018 Antwerp, Belgium. Axel.jeurissen@gza.be},
interhash = {20c4c4eb8db25745e305517be41ffde7},
intrahash = {a4f4ba8ee7931c8001d4b6cb19eefb01},
journal = {Int J Antimicrob Agents},
keywords = {vancomycin dosing drug},
language = {eng},
medline-pst = {ppublish},
month = Jan,
number = 1,
pages = {75--77},
pii = {S0924-8579(10)00413-9},
pmid = {21074374},
timestamp = {2013-01-09T01:42:16.000+0100},
title = {A higher dose of vancomycin in continuous infusion is needed in critically ill patients.},
url = {http://dx.doi.org/10.1016/j.ijantimicag.2010.09.004},
username = {aorchid},
volume = 37,
year = 2011
}