Title
Economic Evaluation of Vancomycin Therapeutic Drug Monitoring Methods
Clinical and Economic Evaluation of Optimal Monitoring Parameters and Sampling Schemes for Vancomycin Therapeutic Drug Monitoring in Qatar
Phase
N/ALead Sponsor
Hamad Medical CorporationStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Infection, BacterialIntervention/Treatment
Vancomycin-traditional dosing Vancomycin- Trough-only based dosingStudy Participants
65Vancomycin is a widely used antibiotic in the treatment of complicated gram positive infections. Approaches to vancomycin therapeutic drug monitioring (TDM) vary. This clinical trial aimed to compare the pharmacoeconomic outcomes between various vancomyicn TDM approaches.
Research questions: Which vancomycin therapeutic drug monitoring (TDM) approach is associated with superior economic outcomes?
-Objectives: In this proposed multicenter randomized controlled trial (RCT), we aim to compare the pharmacoeconomic outcomes of various vancomycin TDM approaches.
The dose is calculated based on 2 vancomycin serum levels
The dose is calculated based on 1 vancomycin serum level (i.e. trough)
Patients are dosed using two timed vancomycin serum concentrations
Patients are dosed based on one timed vancomycin serum level
Inclusion Criteria: adults at least 18 yrs who are hospitalized and initiated on IV vancomycin Exclusion Criteria: renal instability immunosuppression; vancomycin allergy; history of recurrent peritonitis administration of < 4 doses of vancomycin pregnancy; hemoglobin < 8 g/dL.