Evidence map›Paper›PMID 34285111›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2022

Comparison of area under the curve for vancomycin from one- and two-compartment models using sparse data.

Nyein Hsu Maung, Janthima Methaneethorn, Thitima Wattanavijitkul, Tatta Sriboonruang

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Article in European journal of hospital pharmacy : science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Nyein Hsu MaungDepartment of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand.
Janthima MethaneethornDepartment of Pharmacy Practice, Faculty of Pharmaceutical sciences, Naresuan University, Phitsanulok, Thailand.ORCID 0000-0001-5142-8769
Thitima WattanavijitkulDepartment of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0003-1474-4249
Tatta SriboonruangDepartment of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand Tatta.s@pharm.chula.ac.th.ORCID 0000-0003-3122-6419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveVancomycin pharmacokinetics have been described by both one- and two-compartment models. One-compartment models are widely used to predict the area under the curve (AUC), a useful parameter for determining the efficacy and safety of vancomycin, based on sparse data collected during therapeutic drug monitoring. It is uncertain whether AUCs from one-compartment models with sparsely sampled data can sufficiently represent the true AUC. This study aimed to compare AUC estimates from one- and two-compartment models using sparse data. The reliability of AUCs from models constructed with trough-only data was also assessed.

methodsA previously published robust model was used to simulate vancomycin concentration points at 15 min intervals in 100 patients. From these simulated data, the reference AUC (AUC

resultsWhen assessing the deviation of each AUC from the AUC

conclusionRegardless of statistically significant differences between AUCs from one- and two-compartment models, the level of difference was acceptable from the clinical perspective, being <17% in models from peak-trough data. Therefore, both one- and two-compartment models with sparse data having at least a pair of peak-trough data per patient could be reliable for predicting AUC. Furthermore, AUCs of the one-compartment model from trough-only data did not show a significant difference from the AUC

Indexed as

Anti-Bacterial AgentsVancomycinArea Under CurveDrug MonitoringHumansReproducibility of ResultsAnti-Bacterial AgentsVancomycinclinical medicinedrug monitoringeducationhospitalmicrobiologypharmacypharmacy service

Identifiers

PMID34285111
PMCPMC8899690

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