Kim AJ et al. 2016

Comparison of the pharmacokinetics of vancomycin in neurosurgical and non-neurosurgical patients

International Journal of Antimicrobial Agents · 10.1016/j.ijantimicag.2016.06.022

Structure

A one-compartment model, driven by creatinine clearance.

Study population

General and Mixed patients — Korea and Asia. Fitted to 132 patients and 359 concentration observations.

Covariate As reported
Age 56.3 ± 16.1 yr
Weight 62 ± 12.2 kg
CrCl 95.8 ± 49.8 mL/min
SCr 0.76 ± 0.39 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={4.36CrCl95.8t72h3.69CrCl95.8t>72hCL = \begin{cases} 4.36 \cdot \frac{CrCl}{95.8} & t \le 72h \\ 3.69 \cdot \frac{CrCl}{95.8} & t > 72h \end{cases}V1={83.7t72h107.0t>72hV_1 = \begin{cases} 83.7 & t \le 72h \\ 107.0 & t > 72h \end{cases}
LaTeX source
CL = \begin{cases} 4.36 \cdot \frac{CrCl}{95.8} & t \le 72h \\ 3.69 \cdot \frac{CrCl}{95.8} & t > 72h \end{cases}
V_1 = \begin{cases} 83.7 & t \le 72h \\ 107.0 & t > 72h \end{cases}

Implementation notes

Time-dependent model (early phase ≤72h). Covariates for neurosurgical status, nephrotoxic drugs, and liver cirrhosis excluded.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr