PTA (%) (percentage of simulated patients attaining AUC 24 h < 400 / 400–600 / > 600 mg∙h/L) AUC24h mg∙h/L, Mean ± SD | |||||||
---|---|---|---|---|---|---|---|
Vancomycin Dosing | Day 1 (Mon) | Day 2 (Tue) | Day 3 (Wed) | Day 4 (Thu) | Day 5 (Fri) | Day 6 (Sat) | Day 7 (Sun) |
7-h HHD 5 days per week with a total dialysate volume of 30 L (Qd = 4.3 L/hr) | |||||||
 25–5-5–5-5 mg/kg post-HHD | 95 (5/31/64) 693 ± 210 | 97 (3/32/65) 673 ± 164 | 97 (3/56/41) 633 ± 142 | 96 (4/48/48) 608 ± 135 | 96 (4/48/48) 610 ± 137 | 91 (9/57/34) 561 ± 129 | 79 (21/60/19) 498 ± 119 |
 25–5-5–5-7.5 mg/kg post-HHD | 95 (5/32/63) 686 ± 204 | 97 (3/33/64) 669 ± 162 | 97 (3/42/55) 630 ± 142 | 96 (4/48/48) 606 ± 136 | 99 (1/31/68) 684 ± 153 | 97 (3/42/55) 630 ± 145 | 90 (10/56/34) 559 ± 133 |
 25–5-5–5-10 mg/kg post-HHD | 95 (5/32/63) 691 ± 210 | 97 (3/32/65) 673 ± 165 | 97 (3/41/56) 633 ± 143 | 96 (4/46/50) 609 ± 136 | 100 (0/16/84) 765 ± 170 | 99 (1/26/73) 706 ± 161 | 96 (4/42/54) 626 ± 147 |
 25–7.5–7.5–7.5–10 mg/kg post-HHD | 95 (5/32/63) 688 ± 211 | 99 (1/21/78) 743 ± 185 | 100 (0/18/82) 757 ± 173 | 100 (0/16/84) 771 ± 173 | 100 (0/5/95) 885 ± 199 | 100 (0/12/88) 815 ± 189 | 99 (1/24/75) 723 ± 173 |
7-h HHD 5 days per week with a total dialysate volume of 60 L (Qd = 8.6 L/hr) | |||||||
 25–5-5–5-5 mg/kg post-HHD | 94 (6/33/61) 680 ± 203 | 95 (5/49/46) 599 ± 136 | 88 (12/62/26) 530 ± 118 | 78 (22/62/16) 490 ± 114 | 93 (7/57/36) 565 ± 126 | 86 (14/62/24) 522 ± 119 | 67 (33/57/10) 456 ± 109 |
 25–5-5–5-7.5 mg/kg post-HHD | 95 (5/33/62) 676 ± 200 | 98 (2/33/65) 668 ± 152 | 98 (2/38/60) 646 ± 140 | 97 (3/40/57) 636 ± 141 | 98 (2/35/63) 662 ± 148 | 96 (4/46/50) 610 ± 140 | 86 (14/58/28) 534 ± 129 |
 25–5-5–5-10 mg/kg post-HHD | 95 (5/32/63) 683 ± 200 | 98 (2/31/67) 675 ± 152 | 98 (2/37/61) 652 ± 141 | 98 (2/40/58) 642 ± 142 | 100 (0/19/81) 745 ± 162 | 99 (1/30/69) 688 ± 153 | 95 (5/49/46) 601 ± 140 |
7-h HHD every other day with a total dialysate volume of 30 L (Qd = 4.3 L/hr) | |||||||
 20 mg/kg LD, 7.5 mg/kg post-HD | 89 (11/46/43) 596 ± 182 | 83 (17/50/33) 550 ± 163 | 95 (5/42/53) 633 ± 164 | 89 (11/53/36) 565 ± 145 | 97 (3/39/58) 648 ± 157 | 92 (8/52/40) 579 ± 142 | 98 (2/36/62) 661 ± 158 |
 25 mg/kg LD, 5 mg/kg post-HD | 95 (5/28/67) 716 ± 220 | 94 (6/33/61) 676 ± 202 | 96 (4/38/58) 649 ± 162 | 91 (9/51/40) 577 ± 143 | 93 (7/52/41) 581 ± 134 | 84 (16/61/23) 518 ± 122 | 89 (11/61/28) 540 ± 124 |
 25 mg/kg LD, 7.5 mg/kg post-HHD | 96 (4/28/68) 717 ± 219 | 95 (5/33/62) 677 ± 200 | 98 (2/24/74) 725 ± 181 | 96 (4/37/59) 646 ± 160 | 99 (1/26/73) 707 ± 164 | 96 (4/41/55) 630 ± 148 | 99 (1/27/72) 698 ± 160 |
7-h HHD every other day with a total dialysate volume of 50 L (Qd = 7.1 L/hr) | |||||||
 20 mg/kg LD, 7.5 mg/kg post-HHD | 89 (11/45/46) 602 ± 182 | 84 (16/51/33) 549 ± 159 | 94 (6/48/46) 601 ± 145 | 86 (14/60/26) 530 ± 127 | 95 (5/51/44) 594 ± 135 | 86 (14/61/25) 525 ± 122 | 95 (5/52/43) 594 ± 134 |
 25 mg/kg LD, 5 mg/kg post-HHD | 96 (4/28/68) 718 ± 225 | 94 (6/34/60) 670 ± 200 | 95 (5/48/47) 603 ± 142 | 86 (14/60/26) 530 ± 124 | 85 (15/64/21) 516 ± 114 | 68 (32/59/9) 456 ± 104 | 73 (27/62/11) 469 ± 105 |
 25 mg/kg LD, 7.5 mg/kg post-HHD | 95 (5/28/67) 719 ± 228 | 94 (6/34/60) 671 ± 204 | 98 (2/32/66) 681 ± 167 | 94 (6/48/46) 600 ± 146 | 97 (3/39/58) 641 ± 147 | 91 (9/55/36) 566 ± 132 | 96 (4/44/52) 621 ± 142 |
7-h HHD every other day with a total dialysate volume of 60 L (Qd = 8.6 L/hr) | |||||||
 20 mg/kg LD, 7.5 mg/kg post-HHD | 89 (11/45/44) 598 ± 179 | 83 (17/51/32) 543 ± 155 | 93 (7/52/41) 583 ± 139 | 83 (17/61/22) 512 ± 122 | 93 (7/57/36) 569 ± 130 | 81 (19/62/19) 501 ± 117 | 92 (8/57/35) 565 ± 129 |
 25 mg/kg LD, 5 mg/kg post-HHD | 95 (5/29/66) 714 ± 225 | 94 (6/36/58) 663 ± 199 | 93 (7/52/41) 584 ± 138 | 83 (17/61/22) 512 ± 121 | 79 (21/63/16) 493 ± 112 | 60 (40/53/7) 434 ± 102 | 64 (36/56/8) 445 ± 103 |
 25 mg/kg LD, 7.5 mg/kg post-HHD | 95 (5/28/67) 714 ± 226 | 93 (7/34/59) 664 ± 200 | 97 (3/34/63) 660 ± 156 | 92 (8/52/40) 580 ± 136 | 96 (4/46/50) 614 ± 136 | 89 (11/60/29) 541 ± 122 | 95 (5/51/44) 592 ± 131 |
 25 mg/kg LD, 10 mg/kg post-HHD | 96 (4/29/67) 717 ± 222 | 94 (6/35/59) 666 ± 196 | 99 (1.21/78) 739 ± 176 | 97 (3/38/59) 650 ± 153 | 99 (1/20/79) 737 ± 165 | 98 (2/38/60) 649 ± 148 | 99 (1/19/80) 741 ± 165 |