WebVancomycin trough goal 15 – 20 mcg/ml Cephalexin high dose: 100 – 150 mg/kg/day divided QID (max: 4 g/day) 3 Diagnosis Common Pathogens Preferred Empiric Drug(s) Alternative Drug(s) for Allergy or Clinical Severity Duration* Comments Osteoarticular infections ≥ 5 years MSSA or MRSA S. pyogenes S. pneumoniae WebRoutinely recommended: Target trough < 1 mcg/mL thCheck trough +/- peak with 3 dose o Once peak in therapeutic range it is not necessary to continue monitoring peaks o If trough > 1 mcg/mL increase interval to every 12 hours then every 24 hours if necessary Goal of monitoring is to avoid toxicity which is associated with troughs > 1 mcg/mL
IDSA Guidelines on the Treatment of MRSA Infections in …
WebFor instance, cellulitis may have a goal trough of 1015 wh- ereas pneumonia has a goal trough of 15-20. Stanford’s current inpatient protocol has a broader trough goal of 1020, but you will still - want to take into account goal trough at the time of dischargeif the patient is still on vancomycin (more on this later) WebUniversity of Wisconsin Hospitals and Clinics UW Health earring display for boutiques
Therapeutic monitoring of vancomycin for serious …
WebMar 21, 2024 · The target trough concentration can be individualized to achieve a desired AUC range, and limiting use of large doses (>15-20 mg/kg) can protect against excessive 24-hour AUC with trough-only monitoring. WebJun 2, 2016 · Sometimes we might let those trough levels range a little lower to 10-15 mcg/mL for a cellulitis indication. If you just think "shoot for 15 mcg/ml," you'll generally be right either way. But as you learn and practice, you’ll find there are times that targeting a more specific range, like 18-20 mcg/mL for that meningitis patient, is important! WebJul 6, 2011 · trough of 15-20 is not indicated for all infections. The guideline clearly states which specific infections calls for that trough. Otherwise 10-15 is the goal (unless you live in a areas where staph MIC is typically >1) Its Z Retired 10+ Year Member Joined May 15, 2010 Messages 4,849 Reaction score 165 Jul 4, 2011 #9 earring display spinner