From: The risk of vancomycin toxicity in patients with liver impairment
Variable | Acute kidney injury | Mortality | Vancomycin trough concentration > 20 µg/mL | Vancomycin AUC:MIC > 600 | ||||
---|---|---|---|---|---|---|---|---|
Liver dysfunction | ||||||||
No to mild | 1 | Â | 1 | Â | 1 | Â | 1 | Â |
Moderate to severe | 2.48 | (0.98- 6.28) | 2.79 | (1.26-6.18) | 2.31 | (1.36 -3.93) | 1.79 | (1.09-2.96) |
Daily dose of vancomycin | ||||||||
  < 3000 mg | 1 |  | 1 |  | 1 |  | 1 |  |
  ≥ 3000 mg | 1.85 | (0.68-5.07) | 0.46 | (0.19-1.09) | 2.76 | (1.51-5.04) | 1.59 | (0.91-2.77) |
Gender | ||||||||
 Female | 1 |  | 1 |  | 1 |  | 1 |  |
 Male | 4.99 | (1.13-22.05) | 1.36 | (0.59-3.14) | 0.69 | (0.40-1.19) | 0.58 | (0.35-0.96) |
Age (years) | ||||||||
 18–64 | 1 |  | 1 |  | 1 |  | 1 |  |
  ≥ 65 | 1.99 | (0.74-5.40) | 1.48 | (0.66-3.33) | 1.43 | (0.78-2.63) | 0.91 | (0.50-1.65) |
Body mass index (kg/m2) | ||||||||
  < 25 | 1 |  | 1 |  | 1 |  | 1 |  |
 25–29.9 | 0.62 | (0.19-2.04) | 1.22 | (0.48-3.06) | 0.46 | (0.22-0.93) | 0.65 | (0.35-1.18) |
  ≥ 30 | 0.95 | (0.34-2.61) | 0.76 | (0.32-1.83) | 0.72 | (0.40-1.29) | 0.37 | (0.21-0.68) |
Charlson comorbidity index | ||||||||
 0-1 | 1 |  | 1 |  | 1 |  | 1 |  |
  ≥ 2 | 0.73 | (0.29 -1.83) | 2.72 | (1.15-6.42) | 1.68 | (0.98-2.87) | 1.26 | (0.76-2.09) |