Area under the curve (AUC)-based vancomycin dosing reduces nephrotoxicity but is burdensome. Reviewing 115 adults receiving ≥2 weeks of outpatient vancomycin, we found AUC-based and trough-based dose adjustments discordant only for troughs <12 or >16 mg/L. Selective versus universal outpatient AUC calculation would likely offer similar benefit with reduced workload.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9898881PMC
http://dx.doi.org/10.1093/ofid/ofac696DOI Listing

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