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. 2008 Nov 10;53(2):483–486. doi: 10.1128/AAC.01088-08

TABLE 3.

Characteristics of patients with audiogram changes during vancomycin therapya

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
a

Abbreviations: M, male; F, female; VAN, vancomycin; mod, moderate; bilat, bilateral; R, right; L, left; SNHL, sensorineural hearing loss; q12h, every 12 h.

b

Duration of vancomycin therapy before follow-up audiogram.

c

Standing-order baseline medication of indefinite duration, not new.