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Population Pharmacokinetics of Vancomycin in Thai Patients
Joint Authors
Chindavijak, Busba
Malathum, Kumthorn
Purwonugroho, Tunggul Adi
Chulavatnatol, Suvatna
Preechagoon, Yupaporn
Bunuparadah, Pakwan
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-01
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Population pharmacokinetics of vancomycin in Thai adult patients was determined by non-linear mixed-effects approach using 319 vancomycin serum concentrations from 212 patients.
The data were best fitted by a two-compartment model and it was used to examine the effect of patient characteristics on the vancomycin pharmacokinetics.
In the final model, there was a linear relationship between vancomycin clearance, CL (L/h), and creatinine clearance calculated by Cockcroft-Gault equation, CLCr (mL/min): CL =0.044 × CLCr.
Meanwhile, volume of central compartment, V1 (L), was linearly related with the age (years old): V1=0.542 × Age.
Intercompartment clearance (Q) and volume of peripheral compartment (V2) was 6.95 L/h and 44.2 L, respectively.
The interindividual variability for CL, V1, Q, and V2 was 35.78, 20.93, 39.50, and 57.27%, respectively.
Whereas, the intraindividual variability was 4.51 mg/L.
Final model then was applied to predict serum vancomycin concentrations on validation group.
Predictive performance revealed a bias of −1.43 mg/L (95% CI: −5.82–2.99) and a precision of 12.2 mg/L (95% CI: −1.60–26.16).
In conclusion, population pharmacokinetic of vancomycin in Thai adult patients was developed.
The model could be used to create vancomycin dosage regimen in the type of patient similar with the present study.
American Psychological Association (APA)
Purwonugroho, Tunggul Adi& Chulavatnatol, Suvatna& Preechagoon, Yupaporn& Chindavijak, Busba& Malathum, Kumthorn& Bunuparadah, Pakwan. 2012. Population Pharmacokinetics of Vancomycin in Thai Patients. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-496809
Modern Language Association (MLA)
Purwonugroho, Tunggul Adi…[et al.]. Population Pharmacokinetics of Vancomycin in Thai Patients. The Scientific World Journal No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-496809
American Medical Association (AMA)
Purwonugroho, Tunggul Adi& Chulavatnatol, Suvatna& Preechagoon, Yupaporn& Chindavijak, Busba& Malathum, Kumthorn& Bunuparadah, Pakwan. Population Pharmacokinetics of Vancomycin in Thai Patients. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-496809
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496809