Practical dose ranges supporting target vancomycin exposure with AUC‐guided dosing in overweight and obese patients: A multicentre retrospective study

AIM: Evidence supporting area under the concentration-time curve (AUC)-guided vancomycin dosing in overweight and obese patients remains limited. This multicentre retrospective study aimed to identify pragmatic loading dose (LD) and maintenance dose (MD) ranges associated with target AUC attainment in this population. METHODS: : 400-600 μg·h/mL). RESULTS: , respectively. CONCLUSION: , informing interim renal-stratified MD ranges until TDM results become available. Early TDM remains essential given significant inter-individual variability.

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Journal
British Journal of Clinical Pharmacology
Published
2026-05-10
DOI
https://doi.org/10.1002/bcp.70594
Primary Topic
Antimicrobial Resistance in Staphylococcus
Type
article
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article

Practical dose ranges supporting target vancomycin exposure with AUC‐guided dosing in overweight and obese patients: A multicentre retrospective study

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British Journal of Clinical Pharmacology
Antimicrobial Resistance in Staphylococcus
article

Practical dose ranges supporting target vancomycin exposure with AUC‐guided dosing in overweight and obese patients: A multicentre retrospective study

Shun Tsujimura, Yoshiaki Yokoyama, Yuki Hanai, Hideki Hashi, Aiju Endo, Kazumi Hanawa, T Namiki, Yuki Igarashi, Daiki Asakawa, Kaori Matsumoto, Kazuaki Matsumoto, Riku Maruyama, Yuki Enoki
article en

Abstract

AIM: Evidence supporting area under the concentration-time curve (AUC)-guided vancomycin dosing in overweight and obese patients remains limited. This multicentre retrospective study aimed to identify pragmatic loading dose (LD) and maintenance dose (MD) ranges associated with target AUC attainment in this population. METHODS: : 400-600 μg·h/mL). RESULTS: , respectively. CONCLUSION: , informing interim renal-stratified MD ranges until TDM results become available. Early TDM remains essential given significant inter-individual variability.

British Journal of Clinical Pharmacology
Toho University (JP), Chiba Institute of Science (JP), Keio University (JP), Kameda Medical Center (JP), Juntendo University Urayasu Hospital (JP), Yamanashi Prefectural Central Hospital (JP)
Openalex Percentile: Top 5%
Antimicrobial Resistance in Staphylococcus
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