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Vancomycin Dosing and Its Association With Acute Kidney Injury in Pediatric Cardiac Intensive Care Patients Under 3 Months of Age.

Liat Ashkenazi-HoffnungOfer SchillerMor KrubinerOvadia DaganOrly HaskinOrit Manor-ShulmanYael FeinsteinTzippy ShochatEran ShostakHavatzelet Yarden-Bilavsky
Published in: The Pediatric infectious disease journal (2024)
Our results support a lower starting vancomycin dose of ~30 mg/kg/day followed by an early personalized therapeutic approach, to achieve therapeutic trough concentrations of 10-20 mg/L in cardiac postoperative term infants. Supratherapeutic concentrations are associated with an increased risk for AKI, which is prevalent in this population and associated with adverse outcomes.
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