TABLE 3.
Age (yr) | Sex | Race | Serum creatinine concn (mg/dl) | Range of VAN trough levels (mg/liter) | VAN indication | Days of VAN at time of follow-up audiogram | Audiogram result
|
VAN 24-h dose (durationb) | Other ototoxins | |
---|---|---|---|---|---|---|---|---|---|---|
Baseline | Follow-up | |||||||||
71 | M | White | 0.5-0.9 | 10.9-34.9 | Osteomyelitis | 40 | Mod to severe bilat SNHL | Severe bilat SNHL | 1 g q12h (40 days) | None |
59 | F | White | 0.5 | 7.9-12.3 | MRSA bacteremia | 35 | Normal | R, no change; L, severe SNHL | 1 g q12h (35 days) | None |
74 | M | Hispanic | 0.9 | 8.8-9.8 | Osteomyelitis | 17 | Mild bilat SNHL | Severe bilat SNHL | 1.5 g q12h (17 days) | None |
74 | F | White | 4.0-4.9 | 22-23 | Osteomyelitis | 16 | Mild to mod R SNHL | Mod to severe R SNHL | By serum concns (16 days) | Gentamicin, 6 days |
59 | F | White | 0.9 | 20-21 | Sternal wound infection | 35 | Mild to mod bilat SNHL | Mod to severe bilat SNHL | 750 mg q12h (35 days) | None |
83 | M | White | 1.2 | 10-15 | Soft tissue infection | 15 | Mild to mod bilat SNHL | Severe bilat SNHL | 1 g q24h (15 days) | None |
66 | F | White | 0.5 | 2.5-18.1 | Osteomyelitis | 27 | Mild bilat SNHL | Severe bilat SNHL | 1 g q12h (27 days) | None |
60 | M | Black | 1.3-1.7 | 15 | MRSA pneumonia | 20 | Mild bilat SNHL | Mod bilat SNHL | 1 g q24h (20 days) | None |
71 | M | White | HD | 15.1-20.1 | MRSA bacteremia | 25 | Mod to severe bilat SNHL | Profound bilat SNHL | By serum concns (25 days) | None |
53 | M | Hispanic | 0.7-1.1 | 19-31 | Soft tissue infection | 21 | Normal | R, normal; L, mod SNHL | 1 g q12h (21 days) | Furosemidec |
65 | F | Black | 0.8 | 15-22 | MRSA soft tissue bacteremia | 25 | Mild bilat SNHL | Mod bilat SNHL | 1 g q12h (25 days) | Furosemidec |
Abbreviations: M, male; F, female; VAN, vancomycin; mod, moderate; bilat, bilateral; R, right; L, left; SNHL, sensorineural hearing loss; q12h, every 12 h.
Duration of vancomycin therapy before follow-up audiogram.
Standing-order baseline medication of indefinite duration, not new.