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. 2012 Aug 1;75(4):1068–1080. doi: 10.1111/j.1365-2125.2012.04406.x

Table 3.

Summary of seven published population pharmacokinetic models of vancomycin in neonates

Model C D E F G
Reference Anderson et al., 2007 [8] Allegaert et al., 2007 [9] Kimura et al., 2004 [10] Lo et al., 2010 [11] Marqués-Miñana et al., 2010 [12] > Grimsley et al., 1999 [17] Capparelli et al., 2001 [13]
Patients Premature neonates (PMA range 24–34 weeks) Premature neonates (median PMA of 28 weeks, range 24–30 weeks) Neonates and infants (PMA range 25.1–48.4 weeks) Premature neonates (median PMA of 30 weeks; range 23.6–34 weeks) Neonates and infants (PMA range 25.1–48.1 week) Neonates and infants(GA range 25–41 weeks; PNA range 2–76 days) Neonates and infants (GA 33.5 ± 6 weeks; PNA 70 ± 100 days)
Dosing regimen PNA 1–7 days/serum creatinine value >71 μmol l−1: 15 mg kg−1 every 12 h PNA 1–7 days/serum creatinine value >71 μmol l−1: 15 mg kg−1 every 12 h PNA 1–7 days: 15 mg kg−1 every 12 h See attached Table 3S1 See attached Table 3S2 15 mg kg−1 every 24 h – 15 mg kg−1 every 8 h 15 mg kg−1 every 24 h – 15 mg kg−1 every 12 h
PNA > 7 days: 15 mg kg−1 every 8 h PNA > 7 days: 15 mg kg−1 every 8 h PNA > 7 days: 15 mg kg−1 every 8 h
Number of patients 214 249 19 116 111 (70 in building group and 41 in validation group) 59 374
Number of samples 604 648 88 835 347 1103
Sampling times Trough and peak Combination of sparse and intensive PK sampling
Structure model One compartment model with first order elimination Two compartment model with first-order elimination
Tested covariates Weight, PMA, PNA, renal function, positive blood culture, positive ventilation, inotrope, NSAID, maternal betamethasone administration Weight, PMA, SGA, renal function, NCOX, maternal betamethasone administration Weight, PCA, PNA, GA, Apgar score, serum creatinine Weight, PMA, PNA, SGA, serum creatinine, race, ventilation, NSAID Weight, birth weight, PMA, PNA, GA, height, urine output, BSA, gender, concomitant drugs Weight, PCA, GA, serum creatinine, nutrition, Weight, PNA, GA, gender, serum creatinine, apgar5 score, ECMO
Significant covariate on CL Weight, PMA, renal function*, positive pressure ventilation Weight, PMA, renal function*, non-selective NSAIDs, SGA Weight, PCA, serum creatinine Weight, PMA, SGA Weight, PMA, amoxicillin-clavulanic acid Weight, serum creatinine Weight, PNA, GA, serum creatinine
CL formula 3.83 × (weight/70)0.75 × (PMA3.68/(PMA3.68 + 33.33.68)) × (516 × EXP (0.00823 × ((PMA − 40)/52 − 40))/serum creatinine)/6) × Fventilation 1.58 × (weight/70)0.75 × (EXP(0.0456 × (PMA − 30))) × )) × (516 × EXP (0.00766 × ((PMA − 30)/52 − 40))/serum creatinine)/6) × FSGA × FNCOX 0.0323 × weight/Serum creatinine (PCA ≥ 34 weeks) CL = 1.0 × (weight/70)0.75 × (PMA/30)3.16 × (FSGA) 0.00192 × PMA × (1 + 0.65 × amoxicillin-clavulanic acid) × weight 3.56 × weigh/serum creatinine Weight × (0.028/serum creatinine + 0.000127 × PNA + FGA) + 0.006
0.025 × weight/serum creatinine (PCA < 34 weeks)
Significant covariate on V Weight, inotropic drugs Weight Weight Weight Weight, spironolactone Weight Weight
V formula 39.4 × (weight/70) × Finotrope 39.3 × (weight/70) 0.66 × weight 36.6 × (weight/70) 0.572 × (1 − 0.344 × spironolactone) × weight 0.669 × weight Vss = 0.793 × weight + 0.01
Vc = 0.0334 × weight
Validation method Basic goodness-of-fit plots, Bootstrapping Basic goodness-of-fit plots Basic goodness-of-fit plots, Bootstrapping Basic goodness-of-fit plots, Bootstrapping, Box-plots Basic goodness-of-fit plots, Bootstrapping, Visual predictive check Basic goodness-of-fit plots Basic goodness-of-fit plots, external evaluation
Vancomycine analytical method PETINIA on Dimension PETINIA on Dimension FPIA on TDx FPIA on Cobas Integra FPIA on TDx FPIA on TDx EMIT and FPIA
Serum creatinine method Jaffé Jaffé Enzymatic Jaffé Jaffé Jaffé