Optimizing Vancomycin Dosing and Monitoring in Neonates and Infants Using Population Pharmacokinetic Modeling

Author:

Jarugula Praneeth1,Akcan-Arikan Ayse23,Munoz-Rivas Flor2,Moffett Brady S.3ORCID,Ivaturi Vijay1ORCID,Rios Danielle4

Affiliation:

1. Center for Translational Medicine, Department of Pharmacy Practice and Sciences, University of Maryland School of Pharmacy, Baltimore, Maryland, USA

2. Baylor College of Medicine, Houston, Texas, USA

3. Texas Children’s Hospital, The Woodlands, Texas, USA

4. University of Iowa Stead Family Children’s Hospital, Iowa City, Iowa, USA

Abstract

We determined optimal vancomycin starting dose regimens in infants ≤180 days of age to achieve the highest probability of target attainment with an area under the concentration-time curve for 24 h (AUC 24 ) of ≥400 using population pharmacokinetic (PK) modeling. Secondarily, determination of the relationship between serum creatinine (SCR) and vancomycin clearance in neonates was done.

Funder

HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference20 articles.

1. Neonatal renal physiology

2. Why Do Newborn Infants Have a High Plasma Creatinine?

3. Vancomycin [monograph]. 2019. In. Micromedex Neofax [online database]. Greenwood Village CO: Truven Health Analytics. Accessed November 25 2019.

4. Vancomycin. 2020. In: Pediatric Lexi-Drugs Online. Hudson OH Lexicomp Inc. [Updated August 12 2020; Accessed August 13 2020].

5. Therapeutic monitoring of vancomycin for serious methicillin-resistant Staphylococcus aureus infections: A revised consensus guideline and review by the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, the Pediatric Infectious Diseases Society, and the Society of Infectious Diseases Pharmacists

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