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Optimizing Initial Vancomycin Dosing in Hospitalized Patients Using Machine Learning Approach for Enhanced Therapeutic Outcomes: Algorithm Development and Validation Study

Optimizing Initial Vancomycin Dosing in Hospitalized Patients Using Machine Learning Approach for Enhanced Therapeutic Outcomes: Algorithm Development and Validation Study

Vancomycin is a first-line treatment for methicillin-resistant Staphylococcus aureus (MRSA) infections [1,2]. Due to its narrow therapeutic index, therapeutic drug monitoring (TDM) of vancomycin is essential to achieving effective outcomes while minimizing side effects such as nephrotoxicity and ototoxicity [3-6].

Heonyi Lee, Yi-Jun Kim, Jin-Hong Kim, Soo-Kyung Kim, Tae-Dong Jeong

J Med Internet Res 2025;27:e63983

A Deep Learning–Based Approach for Prediction of Vancomycin Treatment Monitoring: Retrospective Study Among Patients With Critical Illness

A Deep Learning–Based Approach for Prediction of Vancomycin Treatment Monitoring: Retrospective Study Among Patients With Critical Illness

Patients with critical illnesses (>18 years) with intravenous vancomycin treatment history and who had at least 1 test for vancomycin TDM were eligible for this study. Vancomycin TDM was investigated for trough-level information. If the TDM was checked multiple times, only the first TDM value was selected. However, in patients with normal renal function, if the interval between stopping vancomycin and readministering it was 2 weeks or more, it was considered an independent TDM value and used for analyses.

Dohyun Kim, Hyun-Soo Choi, DongHoon Lee, Minkyu Kim, Yoon Kim, Seon-Sook Han, Yeonjeong Heo, Ju-Hee Park, Jinkyeong Park

JMIR Form Res 2024;8:e45202

Using Electronic Health Records for Personalized Dosing of Intravenous Vancomycin in Critically Ill Neonates: Model and Web-Based Interface Development Study

Using Electronic Health Records for Personalized Dosing of Intravenous Vancomycin in Critically Ill Neonates: Model and Web-Based Interface Development Study

Therapeutic drug monitoring (TDM) for vancomycin is a recommended practice to balance efficacy and the risk of AKI. This involves the monitoring of the systemic serum vancomycin concentration (VCs) over time after drug administration and subsequent adjustments of vancomycin dosage as necessary. Vancomycin is eliminated from the systemic circulation primarily through glomerular filtration in the kidneys.

Ka Ho Matthew Hui, Hugh Simon Lam, Cheuk Hin Twinny Chow, Yuen Shun Janice Li, Pok Him Tom Leung, Long Yin Brian Chan, Chui Ping Lee, Celeste Lom Ying Ewig, Yin Ting Cheung, Tai Ning Teddy Lam

JMIR Med Inform 2022;10(1):e29458

Design and Implementation of a Novel Web-Based E-Learning Tool for Education of Health Professionals on the Antibiotic Vancomycin

Design and Implementation of a Novel Web-Based E-Learning Tool for Education of Health Professionals on the Antibiotic Vancomycin

Vancomycin is a commonly used antibiotic for treatment of MRSA infections [19], but there are problems associated with its use. Those include the requirement for a loading dose (initial higher single dose) in serious infections, side effects when administered too rapidly, and the need to monitor vancomycin plasma levels [20]. As part of our antimicrobial stewardship program [21], local quality improvement activities identified gaps in competence around clinical use of vancomycin.

Stuart Evan Evan Bond, Shelley P Crowther, Suman Adhikari, Adriana J Chubaty, Ping Yu, Jay P Borchard, Craig Steven Boutlis, Wilfred Winston Yeo, Spiros Miyakis

J Med Internet Res 2017;19(3):e93