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Table 3 Characteristics of the included studies for target AUC based on nephrotoxicity

From: The monitoring of vancomycin: a systematic review and meta-analyses of area under the concentration-time curve-guided dosing and trough-guided dosing

Study

Design of study

Country

Duration of study

Age of patients

Patient’s condition

Definition of AUC values

Target AUC breakpoint

Chavada 2017 [43]

Retrospective

Australia

2006–2012

> 18% of patient age ≥ 70:

AKI 50.0%

Non-AKI 41.1%

MRSA bacteremia

Values estimated by the maximum a posteriori Bayesian estimation, using a priori pharmacokinetic parameters of a previous population pharmacokinetic model

≥ 563

Zasowski 2018 [44]

Retrospective

America

2014–2015

> 18

Mean ± SD:

61.7 ± 16.8

Confirmed or suspected bacteremiaor pneumonia

Values estimated via the maximum a posteriori probability Bayesian function using a previously published 2-compartment population pharmacokinetic model as the Bayesian prior

≥ 683

Meng 2019 [15]

Prospective

America

2018

≥18

Median ± SD (IQR):

AKI 51 ± 19 (37–62)

Non-AKI 63 ± 17 (50–69)

Pulmonary, skin and soft tissue infection, osteoarticular, febrile neutropenia, abdominal, pelvic, intrathoracic, bacteremia, central nervous system, endocarditis, cardiovascular implantable, electronic device infections, vascular graft

Values obtained by a Stanford hospital–specific spreadsheet calculator with prebuilt pharmacokinetic equations using Microsoft Excel (http://med.stanford.edu/bugsanddrugs.html)

≥ 600

Brunetti 2020 [45]

Retrospective

America

2011–2018

≥18

Mean ± SD: 57 ± 16.4

N/A

Values estimated by DoseMe software, which uses a Bayesian approach

> 600

Lodise 2020 [46]

Prospective

America

2014–2015

≥18

Mean ± SD: 60.7 ± 17.3

MRSA bloodstream infection

Values estimated post hoc using the maximal a posteriori probability procedure

≥ 550

  1. N/A not available