{"id":5862,"date":"2020-08-08T11:12:49","date_gmt":"2020-08-08T01:12:49","guid":{"rendered":"https:\/\/doseme-rx.com\/?p=5862"},"modified":"2021-04-13T16:59:39","modified_gmt":"2021-04-13T06:59:39","slug":"side-effects","status":"publish","type":"post","link":"https:\/\/doseme-rx.com\/en-gb\/vancomycin\/articles\/side-effects","title":{"rendered":"Vancomycin Side Effects"},"content":{"rendered":"\n<p><a href=\"https:\/\/doseme-rx.com\/news\/20200603-intravenous-vancomycin\">Vancomycin<\/a>&nbsp;(brand name:&nbsp;Vancocin\u00ae) is an antibiotic that can be used for multiple&nbsp;<a href=\"https:\/\/academic.oup.com\/cid\/article\/52\/3\/e18\/306145\" target=\"_blank\" rel=\"noreferrer noopener\">severe&nbsp;bacterial infections<\/a>. When first approved by the&nbsp;FDA&nbsp;in the 1950\u2019s,&nbsp;vancomycin&nbsp;was less pure than it is today<sup>1<\/sup>, resulting in a higher risk of&nbsp;side effects. <\/p>\n\n\n\n<p>Even though the medication was effective against drug resistant bacteria, the&nbsp;side effects&nbsp;of&nbsp;vancomycin&nbsp;and the availability of other&nbsp;FDA&nbsp;approved drugs made its use much less common. <\/p>\n\n\n\n<p>Over time, the methods used to purify vancomycin improved and the risk of drug-resistant bacteria grew substantially<\/p>\n\n\n\n<p>By the 1980s, vancomycin became a mainstay in clinical practice.<sup>1<\/sup><\/p>\n\n\n\n<p>To this day, multiple treatment guidelines recommend&nbsp;vancomycin&nbsp;as one of the first antibiotics that should be started in patients with <a href=\"https:\/\/doseme-rx.com\/news\/20200526-vancomycin-renal-dose\">severe infections<\/a> before the infecting bacteria has been identified.<sup>2<\/sup><\/p>\n\n\n\n<p>Even with a decreased risk of&nbsp;side effects&nbsp;due to improved manufacturing, <a href=\"https:\/\/doseme-rx.com\/news\/20200506-vancomycin-dosing-guidelines-physician-perspective\">clinicians<\/a> must make sure that the patient is receiving just the right amount of&nbsp;vancomycin. <\/p>\n\n\n\n<p>The balance of treating the patient\u2019s&nbsp;serious infection&nbsp;while making sure they do not receive too much medication is delicate, as&nbsp;side effects&nbsp;of too much&nbsp;vancomycin&nbsp;can be dangerous.<\/p>\n\n\n\n<p>Vancomycin&nbsp;side effects&nbsp;include the following<sup>3<\/sup>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Kidney damage (nephrotoxicity)<\/strong><\/li><li><strong>Hearing loss&nbsp;(ototoxicity)<\/strong><\/li><li><strong>\u201cRed man\u201d or \u201cred person\u201d syndrome<\/strong><\/li><li>Other less&nbsp;common&nbsp;side effects&nbsp;such as:<ul><li>allergic reactions:&nbsp;hives, difficulty breathing or&nbsp;wheezing<\/li><li>Low white blood cells (neutropenia) or high eosinophil counts (eosinophilia)<\/li><li>Blood vessel inflammation (vasculitis&nbsp;or&nbsp;phlebitis)&nbsp;<\/li><li>Stomach pain,&nbsp;muscle pain,&nbsp;abdominal pain, or&nbsp;back pain&nbsp;<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>An important caveat when reviewing these&nbsp;side effects&nbsp;is that they are not all&nbsp;allergic reactions, but instead a normal occurrence in patients receiving too much&nbsp;vancomycin, or an infusion given too rapidly. &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Kidney Damage<\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Vancomycin&nbsp;is cleared primarily in the kidneys. <\/p>\n\n\n\n<p>In large amounts,&nbsp;vancomycin&nbsp;can cause&nbsp;kidney problems&nbsp;such as acute kidney injury (AKI). <\/p>\n\n\n\n<p>To calculate kidney function, clinicians collect a serum creatinine value. Creatinine is produced when muscles are broken down. <\/p>\n\n\n\n<p>When this muscle byproduct reaches the kidney, it flows freely into the urine at a specific rate called the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK544228\/\" target=\"_blank\" rel=\"noreferrer noopener\">creatinine clearance<\/a>.<sup>4<\/sup><\/p>\n\n\n\n<p>The creatinine clearance is then used to estimate how frequently vancomycin&nbsp;and other medications that are cleared by the kidney should be given to the patient.<\/p>\n\n\n\n<p>Since this calculation relies on muscle breakdown, patients with a very high muscle mass can give the illusion that they have poor kidney function, as they have more circulating creatinine. <\/p>\n\n\n\n<p>Likewise, patients with a low muscle mass can appear to have much more efficient kidneys.<\/p>\n\n\n\n<p>This difference in clearance from patient to patient highlights the need for an accurate representation of the patient\u2019s&nbsp;vancomycin&nbsp;level to prevent acute kidney injury.<\/p>\n\n\n\n<p>There are multiple definitions of AKI that exist. <\/p>\n\n\n\n<p>In the <a href=\"https:\/\/academic.oup.com\/ajhp\/article\/77\/11\/835\/5810200\" target=\"_blank\" rel=\"noreferrer noopener\">2020&nbsp;vancomycin&nbsp;consensus guidelines<\/a>,<sup>5<\/sup> AKI is defined as the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>An increase in&nbsp;serum creatinine&nbsp;of &gt; 0.5 mg\/dL or<\/li><li>A 50% increase from baseline in two consecutive daily readings, or<\/li><li>A decrease in calculated&nbsp;creatinine clearance&nbsp;of 50% from baseline on two consecutive days in the absence of an alternative explanation.<\/li><\/ul>\n\n\n\n<p>Another definition of AKI used in the literature comes from the <a href=\"https:\/\/kdigo.org\/wp-content\/uploads\/2016\/10\/KDIGO-2012-AKI-Guideline-English.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">international acute kidney injury guidelines<\/a> published by the&nbsp;Kidney Disease&nbsp;Improving Global Outcomes (KDIGO) organization.<sup>6<\/sup><\/p>\n\n\n\n<p>The KDIGO guidelines define AKI as a 0.3 mg\/dL or greater increase in the patient\u2019s serum creatinine within 48 hours of a previous serum creatinine lab draw.<\/p>\n\n\n\n<p>Some <a href=\"https:\/\/doseme-rx.com\/clinical-evidence\">researchers<\/a> will use the same definition as the 2020 vancomycin consensus guidelines to detect AKI, and others will use the KDIGO definitions.<\/p>\n\n\n\n<p>There are also some studies that will include patients who have other reasons for having kidney damage, such as other medications or chronic&nbsp;medical conditions. <\/p>\n\n\n\n<p>The different ways acute kidney injury from vancomycin is studied is the most likely reason for such a range in AKI reports.<\/p>\n\n\n\n<p>Prescription drugs, medical conditions, and patient characteristics that increase the risk of AKI when combined with vancomycin include but are not limited to the following<sup>7-11<\/sup>:<\/p>\n\n\n\n<p><strong>Medications&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Acyclovir<\/li><li>Amikacin<\/li><li>Amphotericin B<\/li><li>Gentamicin<\/li><li>Loop diuretics (i.e., furosemide, torsemide)<\/li><li>Piperacillin-tazobactam<\/li><li>Tobramycin<\/li><\/ul>\n\n\n\n<p><strong>Medical conditions<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>AIDS<\/li><li>Cancer<\/li><li>Chronic&nbsp;kidney disease<\/li><li>Diabetes<\/li><li>Heart diseases<\/li><li>Muscle wasting diseases such as cerebral palsy or amyotrophic lateral sclerosis (ALS)<\/li><li>Severely high or low blood pressure<\/li><\/ul>\n\n\n\n<p><strong>Patient characteristics<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Advanced age &nbsp;<\/li><li>Amputation of one or more limbs<\/li><li>Very high or low body weight<\/li><\/ul>\n\n\n\n<p>The way that&nbsp;vancomycin&nbsp;causes acute kidney injury&nbsp;is not well understood. <\/p>\n\n\n\n<p>In animal studies,&nbsp;vancomycin&nbsp;has been associated with an increase in free radicals causing inflammation in the kidneys. <\/p>\n\n\n\n<p>In most patients, kidney damage caused by&nbsp;vancomycin&nbsp;is reversible and the kidneys recover on their own after the medication is stopped. <\/p>\n\n\n\n<p>In severe cases of kidney injury where&nbsp;vancomycin&nbsp;therapy is not adjusted, patients may need dialysis. <\/p>\n\n\n\n<p>Human studies evaluating how the kidneys are damaged from&nbsp;vancomycin&nbsp;use are limited as most cases resolve without requiring kidney biopsy.<\/p>\n\n\n\n<p>Without a strong understanding of how&nbsp;vancomycin&nbsp;causes kidney injury, predicting which patients may experience this&nbsp;side effect&nbsp;can be challenging. <\/p>\n\n\n\n<p>Rates of acute kidney injury in patients who receive&nbsp;vancomycin&nbsp;range from 5-7% all the way up to over 40%.<sup>7<\/sup><\/p>\n\n\n\n<p>Without the addition of medications that cause&nbsp;drug interactions&nbsp;or&nbsp;medical conditions&nbsp;that increase the risk of kidney damage, AKI from&nbsp;vancomycin&nbsp;is much less likely. <\/p>\n\n\n\n<p>It is also easier to predict who might experience AKI by testing the amount of&nbsp;vancomycin&nbsp;in the patient\u2019s blood.<\/p>\n\n\n\n<p>Testing vancomycin levels was recommended in the <a href=\"https:\/\/www.ashp.org\/-\/media\/assets\/policy-guidelines\/docs\/therapeutic-position-statements\/therapeutic-monitoring-vancomycin-adults.ashx\" target=\"_blank\" rel=\"noreferrer noopener\">2009<\/a> vancomycin consensus guidelines.<sup>12<\/sup> <\/p>\n\n\n\n<p>In 2009, the most accurate way to predict if the patient had safe and effective levels of&nbsp;vancomycin&nbsp;in their blood was by using collected levels to calculate the&nbsp;vancomycin&nbsp;<a href=\"https:\/\/www.thebody.com\/article\/ab-cs-pharmacokinetics\" target=\"_blank\" rel=\"noreferrer noopener\">area-under-the-curve (AUC)<\/a>. <\/p>\n\n\n\n<p>The AUC measures the exposure of the drug in the body to the infecting bacteria. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24910345\/\" target=\"_blank\" rel=\"noreferrer noopener\">Calculating the AUC<\/a> was considered to be time-consuming in 2009 when the guidelines were written. <\/p>\n\n\n\n<p>Instead, the 2009&nbsp;vancomycin&nbsp;consensus guidelines recommended that the <a href=\"https:\/\/doseme-rx.com\/news\/20191119-vancomycin-trough-level-recommendations\">trough level<\/a> could be used in place of the AUC. <\/p>\n\n\n\n<p>Trough levels are collected when the drug concentration is at its lowest in the blood, which is right before the next scheduled dose. <\/p>\n\n\n\n<p>By assuring that the trough stayed above a minimum level, it was assumed that the AUC was also within range. <\/p>\n\n\n\n<p>Unfortunately, this practice led to AUC levels that were often above or below the range needed to treat the patient\u2019s infection safely and effectively.<\/p>\n\n\n\n<p>Between 2009 and 2020,&nbsp;<a href=\"https:\/\/doseme-rx.com\/vancomycin-dosing\">software programs<\/a>&nbsp;that could easily estimate the AUC became commercially available. <\/p>\n\n\n\n<p>Through direct AUC estimation, it was found that the rate of <a href=\"https:\/\/doseme-rx.com\/news\/20191213-auc24-vancomycin-dosing\">AKI could be decreased<\/a> by roughly 50% compared to using trough levels.<sup>13<\/sup><\/p>\n\n\n\n<p>In 2020, the&nbsp;vancomycin&nbsp;consensus guidelines recommended AUC monitoring instead of trough-only monitoring and specifically highlighted the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28503880\/\">capabili<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28503880\/\" target=\"_blank\" rel=\"noreferrer noopener\">t<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28503880\/\">ies of software programs<\/a> to perform these calculations.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Hearing Loss<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"740\" height=\"380\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2018\/12\/Hospital-Image-TRHC.jpg\" alt=\"\" class=\"wp-image-3427\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2018\/12\/Hospital-Image-TRHC.jpg 740w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2018\/12\/Hospital-Image-TRHC-300x154.jpg 300w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>When&nbsp;vancomycin&nbsp;was first brought to market, impurities in the drug were believed to increase the patient\u2019s risk of&nbsp;hearing problems. <\/p>\n\n\n\n<p>This occurrence was more common if&nbsp;vancomycin&nbsp;drug levels in the patient were maintained over twice as high than is currently recommended for therapeutic use.<sup>10<\/sup> <\/p>\n\n\n\n<p>Most of the evidence that&nbsp;vancomycin&nbsp;may cause hearing loss&nbsp;is from studies conducted decades prior.<\/p>\n\n\n\n<p>To this extent,&nbsp;vancomycin&nbsp;induced&nbsp;hearing loss&nbsp;remains very rare and controversial. <\/p>\n\n\n\n<p>Animal models have not identified this&nbsp;side effect&nbsp;with today\u2019s version of&nbsp;vancomycin, supporting that the impurities previously present in the drug may have been to blame. <\/p>\n\n\n\n<p>When combined with other medications that are known to cause&nbsp;hearing loss&nbsp;in high doses, there is a theoretical risk that&nbsp;vancomycin&nbsp;may contribute to this&nbsp;side effect. <\/p>\n\n\n\n<p>Interestingly, some of the same medications that increase the risk of kidney damage have also been found to contribute to&nbsp;hearing loss. <\/p>\n\n\n\n<p>Specifically, the aminoglycosides such as&nbsp;tobramycin,&nbsp;gentamicin, and amikacin were highlighted in the 2009&nbsp;vancomycin&nbsp;consensus guidelines as medications that may potentially increase this risk. <\/p>\n\n\n\n<p>Without the combination of one or more added drugs that can cause&nbsp;hearing loss, the 2009&nbsp;vancomycin&nbsp;guidelines did not recommend monitoring for this&nbsp;side effect. <\/p>\n\n\n\n<p>Thus, monitoring for hearing loss is not common practice. <\/p>\n\n\n\n<p>In the <a href=\"https:\/\/doseme-rx.com\/news\/20200330-vancomycin-dosing-guidelines-what-to-know\">2020&nbsp;vancomycin&nbsp;consensus guidelines<\/a>, routine evaluation of the patient\u2019s hearing before, during, and after&nbsp;vancomycin&nbsp;therapy is not recommended.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Red Man Syndrome<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"740\" height=\"380\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/03\/VancoDosingGuidelines-ClinicalSummary-Nobutton-1-100.jpg\" alt=\"Vancomycin Dosing Guidelines: A Clinical Summary\" class=\"wp-image-5201\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/03\/VancoDosingGuidelines-ClinicalSummary-Nobutton-1-100.jpg 740w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/03\/VancoDosingGuidelines-ClinicalSummary-Nobutton-1-100-300x154.jpg 300w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Red man syndrome&nbsp;is a hypersensitivity reaction. <\/p>\n\n\n\n<p>It is also known as red person syndrome, and it is the most common hypersensitivity reaction associated with&nbsp;vancomycin.&nbsp;<\/p>\n\n\n\n<p>Red man syndrome&nbsp;should not be confused with a drug allergy. In some patients,&nbsp;administration of&nbsp;vancomycin&nbsp;too quickly can cause itching and a rash. <\/p>\n\n\n\n<p>The rash seen in&nbsp;red man syndrome&nbsp;is commonly on the face, neck, chest, and upper arms. <\/p>\n\n\n\n<p>Patients may also experience flu-like symptoms. <\/p>\n\n\n\n<p>In most cases, this adverse reaction is mild in nature and resolves when the infusion is stopped or slowed.<\/p>\n\n\n\n<p>The appearance and symptoms of&nbsp;red man syndrome&nbsp;can be summarized as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Itchy, red&nbsp;skin rash&nbsp;on the face, neck, chest, and upper arms<\/li><li>Dizziness<\/li><li>Agitation<\/li><li>Chills<\/li><li>Fever<\/li><li>In severe cases,&nbsp;chest pain, swelling of the lips and face, and shortness of breath<\/li><\/ul>\n\n\n\n<p>Red man syndrome&nbsp;is caused by a histamine response to the active ingredient. <\/p>\n\n\n\n<p>This means that antihistamines such as diphenhydramine can be used to decrease the effects of&nbsp;red man syndrome. <\/p>\n\n\n\n<p>This reaction is more common when&nbsp;vancomycin&nbsp;is administered more quickly. <\/p>\n\n\n\n<p>Knowing this risk,&nbsp;vancomycin&nbsp;is commonly given at a rate of 60 minutes per gram of drug or longer. <\/p>\n\n\n\n<p>In patients with known or suspected&nbsp;red man syndrome, infusion rates are cut in half (i.e., 120 minutes per gram of&nbsp;vancomycin) and patients are sometimes pre-treated with antihistamines. <\/p>\n\n\n\n<p>Some patients seem to be more likely than others to experience this&nbsp;side effect.<\/p>\n\n\n\n<p>Currently, there is no reliable method of identifying which patients may experience&nbsp;red man syndrome&nbsp;prior to receiving&nbsp;vancomycin. <\/p>\n\n\n\n<p>The odds of having this infusion reaction also ranges considerably from as low as 3.7% to as high as 47% of patients who receive the drug. <\/p>\n\n\n\n<p>On occasion,&nbsp;red man syndrome&nbsp;can be delayed and present near the end of a&nbsp;vancomycin&nbsp;infusion in patients who have received the drug for at least 7 days.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Summary<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"740\" height=\"380\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/07\/Vanco-effects-4.png\" alt=\"Vancomycin Side Effects\" class=\"wp-image-5868\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/07\/Vanco-effects-4.png 740w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/07\/Vanco-effects-4-300x154.png 300w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>As with any medication,&nbsp;vancomycin&nbsp;has&nbsp;side effects&nbsp;that require consideration of the risks and benefits of using the drug. Some of these side effects include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Kidney damage,&nbsp;<\/strong>which requires very close monitoring of drug levels and changes in risk based on the patient\u2019s characteristics, disease states, and other medications<\/li><li><strong>Hearing loss,&nbsp;<\/strong>which is very rare with today\u2019s version of the drug, but may still be possible when combined with other medications that can cause hearing damage<\/li><li><strong>\u201cRed man\u201d or \u201cred person\u201d syndrome,&nbsp;<\/strong>which is related to the rate of the infusion of the drug and is easily reversible by decreasing the rate and pre-treatment with antihistamines<\/li><\/ul>\n\n\n\n<p>In practice, close monitoring of&nbsp;vancomycin&nbsp;can prevent or decrease the severity of these&nbsp;side effects. <\/p>\n\n\n\n<p>With the help of <a href=\"https:\/\/doseme-rx.com\/benefits\">precision dosing software<\/a> such as provided by&nbsp;<a href=\"https:\/\/doseme-rx.com\/vancomycin-dosing\">DoseMeRx,<\/a>&nbsp;clinicians can make sure that their patients have just the right amount of&nbsp;vancomycin&nbsp;to treat their infection while decreasing their risk of some of these&nbsp;adverse effects.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n    <div class=\"author-block\">\r\n        <h2>About the author:<\/h2>\r\n        <div class=\"author-block_inner\">\r\n            <img decoding=\"async\" width=\"184\" height=\"207\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/08\/Reynolds-Headshot.jpg\" class=\"attachment-small size-small\" alt=\"\" \/>            <div class=\"author_inner\" itemprop=\"author\" itemscope itemtype=\"http:\/\/schema.org\/Person\">\r\n                <span class=\"author_name\" itemprop=\"name\">Brandon Reynolds, Pharm.D., BCPS<\/span>\r\n                <span class=\"author_position\">Clinical Pharmacist<\/span>\r\n                                    <a href=\"https:\/\/doseme-rx.com\/en-gb\/author\/breynolds\" class=\"button button-secondary\" rel=\"author\" itemprop=\"url\">Learn More<\/a>\r\n                            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"trial-form-module form_row\" id=\"bookademo\">\r\n    \r\n<div class=\"copy\">\r\n\t<h2 class=\"has-gold-color has-text-color\"><\/h2>\r\n\t<\/div>\t\t\r\n\r\n<script>\r\n\t$(function () {\r\n\t\t\r\n\t\t\r\n\t$.getJSON(\"https:\/\/api.ipstack.com\/check?access_key=2096fae20ea80a0c432c80c876bb462d&output=json\").done(function(e) {\r\n\t\t$(\"#input_11_7\").val(e.ip);\t\t\t\t\r\n\t\t$(\"#input_11_8\").val(e.city + \", \" + e.region_name + \", \" + e.country_name);\r\n\t\t$(\"#input_11_10\").val(e.country_name);\r\n\t\t$(\"#input_11_15\").val(e.continent_name);\r\n\t})\t\t\t\r\n\r\n\t});\r\n\r\n\r\n\t<\/script>\r\n\r\n<script 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class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_11' id='gform_11'  action='\/en-gb\/wp-json\/wp\/v2\/posts\/5862#gf_11' data-formid='11' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LcKHvQqAAAAANhsXAUIozVdQgdVqbUaVSmOOEQ8' data-tabindex='0'><input id=\"input_e96277ef775691b32a665d00a36bba25\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_e96277ef775691b32a665d00a36bba25\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_11_5' type='email' value='' class='large'   placeholder='Email *' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_11_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_11_1' type='text' value='' class='large'    placeholder='First Name *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_9'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_11_9' type='text' value='' class='large'    placeholder='Last Name *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_2'>Hospital<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_11_2' type='text' value='' class='large'    placeholder='Hospital *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_13\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_13'>Number of Sites<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_13' id='input_11_13' type='number' step='any'   value='' class='large'    placeholder='Number of Sites *' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_17'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_11_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_11_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_6'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_11_6' type='tel' value='' class='large'  placeholder='Phone *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label 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class=\"wp-image-4782\"\/><figcaption><strong><a href=\"https:\/\/doseme-rx.com\/news\/20200330-vancomycin-dosing-guidelines-what-to-know\">2020 Vancomycin Guidelines: What Do You Need To Know? <\/a><\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"740\" height=\"380\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/06\/IV-Vancomycin.jpg\" alt=\"\" class=\"wp-image-5565\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/06\/IV-Vancomycin.jpg 740w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2020\/06\/IV-Vancomycin-300x154.jpg 300w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><figcaption><a href=\"https:\/\/doseme-rx.com\/news\/20200603-intravenous-vancomycin\"><strong>Intravenous Vancomycin<\/strong><\/a><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\"><li>Levine, DP.&nbsp;<a href=\"https:\/\/academic.oup.com\/cid\/article\/42\/Supplement_1\/S5\/275962\" target=\"_blank\" rel=\"noreferrer noopener\">Vancomycin: A History.<\/a> <em>Clin Infect Dis<\/em>. 2006;42:S5-S12.<\/li><li>Liu C, Bayer A, Cosgrove S et al.&nbsp;<a href=\"https:\/\/academic.oup.com\/cid\/article\/52\/3\/e18\/306145\" target=\"_blank\" rel=\"noreferrer noopener\">Clinical practice guidelines by the&nbsp;Infectious Diseases&nbsp;Society of America for the treatment of methicillin-resistant&nbsp;<em>Staphylococcus aureus&nbsp;<\/em>infections in adults and children.<\/a> <em>Clin Infect Dis.&nbsp;<\/em>2011; 52(3):e18-e55<\/li><li>Patel S, Preuss CV, Bernice F.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459263\/\">Vanco<\/a><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459263\/\" target=\"_blank\" rel=\"noreferrer noopener\">mycin. StatPearls [Internet]. Last update Feb 2020.<\/a><\/li><li>Shahbaz H, Gupta M.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK544228\/\" target=\"_blank\" rel=\"noreferrer noopener\">Creatinine clearance.<\/a>&nbsp;StatPearls [Internet]. Last update July 2019.<\/li><li>Rybak MJ, Le J, Lodise T, et al.&nbsp;<a href=\"https:\/\/academic.oup.com\/ajhp\/article\/77\/11\/835\/5810200\" target=\"_blank\" rel=\"noreferrer noopener\">Therapeutic monitoring of&nbsp;vancomycin&nbsp;for serious methicillin-resistant Staphylococcus aureus infections: A revised consensus guideline and review by the American Society of Health-System Pharmacists, the&nbsp;Infectious Diseases&nbsp;Society of America, the Pediatric&nbsp;Infectious Diseases&nbsp;Society, and the Society of&nbsp;Infectious Diseases&nbsp;Pharmacists<\/a>.&nbsp;<em>Am J Health-Syst Pharm.&nbsp;<\/em>2020; 77(11):835-864.<\/li><li>Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group.&nbsp;<a href=\"https:\/\/kdigo.org\/wp-content\/uploads\/2016\/10\/KDIGO-2012-AKI-Guideline-English.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">KDIGO Clinical Practice Guideline for Acute Kidney Injury.&nbsp;<\/a><em>Kidney inter., Suppl.<\/em>&nbsp;2012; 2:1\u2013138.<\/li><li>Bamgbola O.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4892398\/\" target=\"_blank\" rel=\"noreferrer noopener\">Review of&nbsp;vancomycin-induced renal toxicity: an update.<\/a> <em>Ther Adv Endocrinol Metab.&nbsp;<\/em>2016; 7(3):136-147<\/li><li>Sivagnanam S, Deleu D.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC270616\/#:~:text=Red%20man%20syndrome%20is%20an,hypotension%20and%20angioedema%20can%20occur.\" target=\"_blank\" rel=\"noreferrer noopener\">Red man syndrome.<\/a> <em>Crit Care.&nbsp;<\/em>2003; 7(2):119-120<\/li><li>Cappelletty D, Jablonski A, Jung R.&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24385282\/\" target=\"_blank\" rel=\"noreferrer noopener\">Risk factors for acute kidney injury in adult patients receiving&nbsp;vancomycin.<\/a> <em>Clin Drug Investig.&nbsp;<\/em>2014; 34(3):189-193<\/li><li>Brummett RE, Fox KE.&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2669623\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vancomycin- and erythromycin-induced&nbsp;hearing loss&nbsp;in humans.<\/a> <em>Antimicrob Agents Chemother.&nbsp;<\/em>1989; 33(6):791-796<\/li><li>Farooqi S, Dickhout J.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4777784\/\" target=\"_blank\" rel=\"noreferrer noopener\">Major comorbid disease processes associated with the incidence of acute kidney injury.<\/a> <em>World J Nephrol.&nbsp;<\/em>2016; 5(2):139-146<\/li><li>Rybak MJ, Lomaestro BM, Rotscahfer JC, et al.&nbsp;<a href=\"https:\/\/academic.oup.com\/cid\/article\/49\/3\/325\/496155\" target=\"_blank\" rel=\"noreferrer noopener\">Vancomycin&nbsp;therapeutic guidelines: a summary of consensus recommendations from the&nbsp;Infectious Diseases&nbsp;Society of America, the American Society of Health-System Pharmacists, and the Society of&nbsp;Infectious Diseases&nbsp;Pharmacists.<\/a><em>Clin Infect Dis.&nbsp;<\/em>2009; 49(3):325-327<\/li><li>Finch N, Zasowski E, Murray K, et al.&nbsp;<a href=\"https:\/\/aac.asm.org\/content\/61\/12\/e01293-17\" target=\"_blank\" rel=\"noreferrer noopener\">A quasi-experiment to study the impact of&nbsp;vancomycin&nbsp;area-under-the-concentration-time curve-guided dosing on&nbsp;vancomycin-associated&nbsp;nephrotoxicity.<\/a>&nbsp;<em>Antimicrob Agents Chemother.&nbsp;<\/em>2017; 61(12):e01293-17<\/li><\/ol>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vancomycin&nbsp;(brand name:&nbsp;Vancocin\u00ae) is an antibiotic that can be used for multiple&nbsp;severe&nbsp;bacterial infections. When first approved by the&nbsp;FDA&nbsp;in the 1950\u2019s,&nbsp;vancomycin&nbsp;was less pure than it is today1, resulting in a higher risk of&nbsp;side effects. Even though the medication was effective against drug resistant bacteria, the&nbsp;side effects&nbsp;of&nbsp;vancomycin&nbsp;and the availability of other&nbsp;FDA&nbsp;approved drugs made its use much less common. [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":7655,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[26],"tags":[],"article-type":[49],"class_list":["post-5862","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-vancomycin"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Vancomycin Side Effects - Adverse Effects, Drug Interactions, Dosages, Treatment and More | DoseMeRx<\/title>\n<meta name=\"description\" content=\"Discover the side effects of Vancomycin, including allergic reactions, drug interactions, and other useful short and long term impacts. 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