Medellín-Garibay et al. 2016

Pharmacokinetics of vancomycin and dosing recommendations for trauma patients

Journal of Antimicrobial Chemotherapy · 10.1093/jac/dkv372

Structure

A two-compartment model, driven by weight, age, creatinine clearance and furosemide.

Study population

General patients — Spain and Europe. Fitted to 158 patients and 511 concentration observations.

Covariate As reported
Age 77 (37–100) yr
Weight 72 (38–110) kg
BMI 27.5 ± 5 kg/m²
CrCl 70.7 ± 51.5 mL/min

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=0.49CrCl601000CL = 0.49 \cdot CrCl \cdot \frac{60}{1000}V1=Weight{1.07Age>650.74Age65V_1 = Weight \cdot \begin{cases} 1.07 & Age > 65 \\ 0.74 & Age \le 65 \end{cases}V2=5.9WeightV_2 = 5.9 \cdot WeightQ=0.81Q = 0.81
LaTeX source
CL = 0.49 \cdot CrCl \cdot \frac{60}{1000}
V_1 = Weight \cdot \begin{cases} 1.07 & Age > 65 \\ 0.74 & Age \le 65 \end{cases}
V_2 = 5.9 \cdot Weight
Q = 0.81

Implementation notes

Two-compartment model for trauma patients. Furosemide effect on clearance excluded.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr