Evaluation of Vancomycin TDM Strategies: Prediction and Prevention of Kidney Injuries Based on Vancomycin TDM Results

被引：7

作者：

Kim, Byungwook ^{[1
]}

Hwang, Sejung ^{[1
]}

Heo, Eunjeong ^{[2
]}

Kim, Hyung-sook ^{[2
]}

Jung, Jongtak ^{[3
,8
]}

Kim, Eu Suk ^{[3
]}

Kim, Hong Bin ^{[3
]}

Lee, Kyunghoon ^{[4
]}

Park, Jeong Su ^{[4
]}

Song, Junghan ^{[4
]}

Lee, Joon Hee ^{[4
]}

Chung, Jae -Yong ^{[5
]}

Song, Kyoung-Ho ^{[3
,7
]}

Yoon, Seonghae ^{[5
,6
]}

机构：

[1] Seoul Natl Univ, Seoul Natl Univ Hosp, Coll Med, Dept Clin Pharmacol & Therapeut, Seoul, South Korea

[2] Seoul Natl Univ, Bundang Hosp, Dept Pharm, Seongnam, South Korea

[3] Seoul Natl Univ, Bundang Hosp, Coll Med, Dept Internal Med, Seongnam, South Korea

[4] Seoul Natl Univ, Bundang Hosp, Dept Lab Med, Seongnam, South Korea

[5] Seoul Natl Univ, Bundang Hosp, Coll Med, Dept Clin Pharmacol & Therapeut, Seongnam, South Korea

[6] Seoul Natl Univ, Bundang Hosp, Coll Med, Dept Clin Pharmacol & Therapeut, 82 Gumi-ro 173-beon-gil, Seongnam 13620, South Korea

[7] Seoul Natl Univ, Bundang Hosp, Coll Med, Dept Internal Med, 82 Gumi-ro 173-beon-gil, Seongnam 13620, South Korea

[8] Soonchunhyang Univ Hosp, Dept Internal Med, Seoul, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2023年 / 38卷 / 14期

关键词：

Vancomycin; Therapeutic Drug Monitoring; Acute Kidney Injury; Pharmacokinetics; STAPHYLOCOCCUS-AUREUS INFECTIONS; DISEASES SOCIETY; NEPHROTOXICITY; AMERICA; RISK;

D O I：

10.3346/jkms.2023.38.e101

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The current guidelines for therapeutic drug monitoring (TDM) of vancomycin suggest a target 24-hour area under the curve (AUC0-24) of 400 to 600 mg*h/L for serious methicillinresistant Staphylococcus aureus infections. In this study, the predictabilities of acute kidney injury (AKI) of various TDM target parameters, target levels, and sampling methods were evaluated in patients who underwent TDM from January 2020 to December 2020. The AUC0-24 and trough values were calculated by both one- and two-point sampling methods, and were evaluated for the predictability of AKI. Among the AUC0-24 cutoff comparisons, the threshold value of 500 mg*h/L in the two sampling methods was statistically significant (P = 0.042) when evaluated for the predictability of AKI. Analysis by an receiver operating characteristic curve estimated an AUC0-24 cutoff value of 563.45 mg*h/L as a predictor of AKI, and was proposed as the upper limit of TDM target.

引用

页数：9

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