Alqahtani et al. 2018

Population Pharmacokinetic Model for Vancomycin Used in Open Heart Surgery: Model-Based Evaluation of Standard Dosing Regimens

Antimicrobial Agents and Chemotherapy · 10.1128/AAC.00088-18

Structure

A two-compartment model, driven by creatinine clearance, serum albumin and weight.

Study population

Surgery patients — Middle East. Fitted to 28 patients and 168 concentration observations.

Covariate As reported
Age 51.7 ± 15.9 yr
Weight 79.6 ± 17 kg
BMI 29.8 ± 5.6 kg/m²
CrCl 83.5 ± 29.3 mL/min
SCr 0.87 ± 0.25 mg/dL

Reported as the source publication gives them — mean ± SD, or median with range or interquartile range.

Equations

The model's structural parameters as Chorus implements them.

CL=6.13(CLCR83.5)0.514(Albumin35.5)0.854CL = 6.13 \cdot \left(\frac{CL_{CR}}{83.5}\right)^{0.514} \cdot \left(\frac{Albumin}{35.5}\right)^{0.854}V1=40(Weight79.6)0.466V_1 = 40 \cdot \left(\frac{Weight}{79.6}\right)^{0.466}Q=0.22Q = 0.22V2=3.88V_2 = 3.88
LaTeX source
CL = 6.13 \cdot \left(\frac{CL_{CR}}{83.5}\right)^{0.514} \cdot \left(\frac{Albumin}{35.5}\right)^{0.854}
V_1 = 40 \cdot \left(\frac{Weight}{79.6}\right)^{0.466}
Q = 0.22
V_2 = 3.88

Implementation notes

Open-heart surgery prophylaxis model. The published CL includes a serum-albumin term that Chorus does not collect; albumin is fixed to the population mean (35.5 g/L), so that term has no effect.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr