TABLE 6.
Sensitivity, specificity, and positive and negative predictive values of vancomycin concentrations at T3 for predicting AUC0–24/MIC ratios of ≥400 at different MICsa
| Vancomycin concn (mg/liter) at T3 and predictive measure | Value (%) for predicting anAUC0–24/MIC ratio of ≥400 at a MIC (mg/liter) of: |
|||
|---|---|---|---|---|
| 0.5 | 1.0 | 1.5 | 2.0 | |
| ≥15 | ||||
| Sensitivity | 95 | 96 | 100 | 100 |
| Specificity | 100 | 100 | 31 | 6 |
| PPV | 100 | 100 | 89 | 26 |
| NPV | 0 | 20 | 100 | 100 |
| ≥20 | ||||
| Sensitivity | 78 | 78 | 87 | 94 |
| Specificity | 100 | 100 | 75 | 37 |
| PPV | 100 | 100 | 95 | 57 |
| NPV | 0 | 4 | 50 | 88 |
| ≥25 | ||||
| Sensitivity | 37 | 37 | 43 | 70 |
| Specificity | 100 | 100 | 100 | 93 |
| PPV | 100 | 100 | 100 | 90 |
| NPV | 0 | 2 | 24 | 78 |
| ≥30 | ||||
| Sensitivity | 21 | 21 | 24 | 44 |
| Specificity | 100 | 100 | 100 | 100 |
| PPV | 100 | 100 | 100 | 100 |
| NPV | 0 | 1 | 19 | 67 |
T3, 24 h after the initiation of therapy; AUC0–24/MIC ratio, ratio between the area under the curve of drug concentrations over the first day of therapy and the MIC.