ROBERT C. MOELLERING Jr., M.D.; DONALD J. KROGSTAD, M.D.; DAVID J. GREENBLATT, M.D.
The relation between vancomycin clearance and renal function was studied in 22 patients with various degrees of renal functional impairment and in four normal volunteers. Clearance of vancomycin and creatinine were highly correlated (r = 0.92) among 17 persons not on dialysis. In five dialysis patients vancomycin clearance averaged 0.086 mL/min · kg of body weight (± SEM = 0.025). These relations enabled us to construct a nomogram for vancomycin dosage adjustment (based on a mean steady-state serum vancomycin concentration of 15 µg/mL) in patients with various degrees of renal functional impairment.
MOELLERING RC, KROGSTAD DJ, GREENBLATT DJ. Vancomycin Therapy in Patients with Impaired Renal Function: A Nomogram for Dosage. Ann Intern Med. ;94:343–346. doi: 10.7326/0003-4819-94-3-343
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Published: Ann Intern Med. 1981;94(3):343-346.
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