{"id":9149,"date":"2022-01-26T01:57:03","date_gmt":"2022-01-25T15:57:03","guid":{"rendered":"https:\/\/doseme-rx.com\/?p=9149"},"modified":"2025-01-04T02:00:58","modified_gmt":"2025-01-03T16:00:58","slug":"vancomycin-protocol-five-steps","status":"publish","type":"post","link":"https:\/\/doseme-rx.com\/en-gb\/vancomycin\/article\/vancomycin-protocol-five-steps","title":{"rendered":"How to Create a Vancomycin AUC-based Protocol in 5 Steps"},"content":{"rendered":"\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">\n<p>With the update to the <a href=\"https:\/\/doseme-rx.com\/vancomycin\/articles\/dosing-guidelines-essentials\">2020 vancomycin guidelines<\/a> recommending a switch from trough-based to AUC-guided dosing for vancomycin, you may be considering your transition.<\/p>\n\n\n\n<p>There are several factors to consider, one of which may be, where to begin developing your updated vancomycin dosing protocol?<\/p>\n\n\n\n<p>Dr. Shivani Patel, PharmD, BCPS, Clinical Pharmacy Specialist, Infectious Diseases at <a href=\"https:\/\/memorialhermann.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Memorial Hermann Health System<\/a> outlines here the five-phase approach of protocol development taken by Memorial Hermann, that may help guide you and your institution as you embark on your transition to AUC dosing.<\/p>\n\n\n\n<p>Download the<a href=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2024\/09\/DoseMe_Guide-to-Creating-a-Protocol_2024.pdf\"> Step-by-Step Guide to Developing a Best Practice Protocol for Bayesian-Guided Vancomycin Dosing.<\/a><\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"940\" height=\"788\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-1.png\" alt=\"\" class=\"wp-image-9185 size-full\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-1.png 940w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-1-300x251.png 300w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-1-768x644.png 768w\" sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/figure><\/div>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-default\"\/>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/shivani-patel_circular_v2-150x150.png\" alt=\"\" class=\"wp-image-9163 size-thumbnail\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/shivani-patel_circular_v2-150x150.png 150w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/shivani-patel_circular_v2-300x300.png 300w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/shivani-patel_circular_v2.png 540w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-purple-color\"><strong><em>&#8220;Thinking back to our DoseMeRx experience, we\u2019ve had a long and rewarding path to where we are today and I hope that sharing our experience makes your journey just a little bit easier.\u201d <\/em><br><\/strong><em>\u2013 Dr. Shivani Patel<\/em><\/mark><\/p>\n<\/div><\/div>\n\n\n\n<p>Dr. Shivani Patel, PharmD, BCPS, Clinical Pharmacy Specialist, Infectious Diseases at Memorial Hermann Health System, successfully implemented Bayesian Dosing across a network of 13 hospitals.<\/p>\n\n\n\n<p>Their goal for protocol development, and for the implementation process overall, was to create standardization across the system, but still allow for flexibility.<br><br>The learnings don\u2019t just apply to large health system networks \u2013 it\u2019s adaptable for smaller facilities too.<\/p>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Step 1: Review the 2020 vancomycin dosing guidelines and clinical data<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Leverage the ASHP\/IDSA\/PIDS\/SIDP vancomycin <span class=\"has-inline-color has-watermelon-color\"><a href=\"https:\/\/doseme-rx.com\/vancomycin\/articles\/dosing-guidelines-essentials\" target=\"_blank\" rel=\"noreferrer noopener\">guidelines <\/a><\/span>to provide rationale for implementing Bayesian dosing to calculate AUC.<\/li>\n\n\n\n<li>Determine what your exclusion criteria will be \u2013 this can be flexible based on your needs. Memorial Hermann Health System\u2019s goal was to maximize the number of patients that could be dosed to AUC24 with DoseMeRx. Therefore, exclusion criteria for those that would be dosed via trough and\/or outside of DoseMeRx was kept intentionally short.<\/li>\n\n\n\n<li>Get support from other departments and keep them engaged.<\/li>\n<\/ul>\n\n\n\n<p><br><br><span class=\"has-inline-color has-purple-color\"><em><strong>\u201cIt really comes down to the people that you\u2019re engaging to build a protocol for us.&nbsp;It [wasn\u2019t just] the ID physicians and the ID pharmacist.&nbsp;We needed to get buy-in from, and to educate, nursing, lab, and IT.\u201d <\/strong><br>&#8211; Dr. Shivani Patel <\/em><\/span><\/p>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Step 2: Develop a decision pathway for evaluating vancomycin orders<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Decide which of the three pathways will work best for your institution:\n<ul class=\"wp-block-list\">\n<li><strong>Renal function based<\/strong>: the pathway decision is based on different renal function thresholds.<\/li>\n\n\n\n<li><strong>Disease state based<\/strong>: the pathway decision is based on the infection that is being treated.<\/li>\n\n\n\n<li><strong>DoseMeRx model based<\/strong>: utilize the one compartment <a href=\"https:\/\/doseme-rx.com\/why-dosemerx\/drug-packages\/vancomycin-models\" target=\"_blank\" rel=\"noreferrer noopener\">vancomycin model<\/a> as the \u201cworkhorse\u201d adult <a href=\"https:\/\/doseme-rx.com\/why-dosemerx\/drug-packages\/vancomycin-models\" target=\"_blank\" rel=\"noreferrer noopener\">vancomycin model<\/a> and then use the other models for specific patient populations such hemodialysis and obese adult.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Step 3: Determine loading dose and maintenance dose recommendations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Memorial Hermann Health System decided to dose with a goal AUC24 of 400 to 600 mg.h\/L with only a few exceptions.<\/li>\n\n\n\n<li>Their default target in DoseMeRx was set at 450 mg.h\/L which consistently produced vancomycin dosing recommendations that kept the patients in their targeted range. In addition, they utilized loading doses in select patients.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"591\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_AUC-24-and-trough-targets-by-disease-type-1024x591.png\" alt=\"\" class=\"wp-image-9166\" style=\"width:768px;height:443px\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_AUC-24-and-trough-targets-by-disease-type-1024x591.png 1024w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_AUC-24-and-trough-targets-by-disease-type-300x173.png 300w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_AUC-24-and-trough-targets-by-disease-type-768x444.png 768w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_AUC-24-and-trough-targets-by-disease-type-1536x887.png 1536w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_AUC-24-and-trough-targets-by-disease-type.png 1939w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile has-black-color has-lightgold-background-color has-text-color has-background\" style=\"grid-template-columns:auto 37%\"><div class=\"wp-block-media-text__content\">\n<p class=\"has-regular-font-size\">Building a decision tree can help pharmacists navigate DoseMeRx. <span class=\"has-inline-color has-watermelon-color\"><a href=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2024\/09\/DoseMe_Guide-to-Creating-a-Protocol_2024.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download the guide<\/a><\/span><strong> <\/strong>to view the decision tree used by Memorial Hermann Health System for guidance to create your own.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div style=\"height:13px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><em><span class=\"has-inline-color has-purple-color\"><strong>\u201cThis [decision tree] was really key for our pharmacists to be able to maneuver and <\/strong><\/span><\/em><strong><span class=\"has-inline-color has-purple-color\"><em>make decisions on DoseMeRx.\u201d <\/em><br><\/span><\/strong><span class=\"has-inline-color has-purple-color\"><em>\u2013 Dr. Shivani Patel<\/em><\/span><\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"1024\" height=\"1004\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_decision-tree_v2-1024x1004.png\" alt=\"\" class=\"wp-image-9170 size-large\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_decision-tree_v2-1024x1004.png 1024w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_decision-tree_v2-300x294.png 300w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_decision-tree_v2-768x753.png 768w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_decision-tree_v2.png 1512w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n\n\n<div style=\"height:34px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><strong><strong><strong>Step 4: Define how vancomycin levels will be drawn<\/strong><\/strong><\/strong><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>With DoseMeRx and Bayesian dosing, there is no longer an attachment to drawing a level at a specific time.<\/li>\n\n\n\n<li>Your protocol should be clear about:\n<ul class=\"wp-block-list\">\n<li>when the first level should be obtained,<\/li>\n\n\n\n<li>when to get two levels, and,<\/li>\n\n\n\n<li>how frequently levels should be redrawn throughout the course of therapy based on indication and renal function.<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"1000\" height=\"500\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/lab-staff-with-ipad.png\" alt=\"\" class=\"wp-image-9177\" style=\"width:750px;height:375px\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/lab-staff-with-ipad.png 1000w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/lab-staff-with-ipad-300x150.png 300w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/lab-staff-with-ipad-768x384.png 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong><strong><strong><strong><strong>Step 5: Prepare an Electronic Health Record (EHR) downtime procedure, if site is fully integrated<\/strong><\/strong><\/strong><\/strong><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Integrated sites should train staff to handle a situation where there is EHR downtime.<\/li>\n\n\n\n<li>For additional tips and benefits specific to integrating into the EHR, <a href=\"https:\/\/doseme-rx.com\/vancomycin\/articles\/dos-and-donts-bayesian-dosing\"><span class=\"has-inline-color has-black-color\">watch Dr. Shivani Patel&#8217;s presentation <\/span><\/a><a href=\"https:\/\/doseme-rx.com\/vancomycin\/articles\/dos-and-donts-bayesian-dosing\" target=\"_blank\" rel=\"noreferrer noopener\">Implementing DoseMeRx Across a 13-Hospital System<\/a>.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:13px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>After following this five-phase approach, remember that your Bayesian-guided vancomycin dosing protocol is a \u201cliving document\u201d and can be reevaluated and refined as needed.<\/p>\n\n\n\n<p>To learn more from Dr. Shivani Patel, including why her health system opted for DoseMeRx and EHR integration, how to engage key stakeholders, and more\u2026watch our webinar<strong> <\/strong><a href=\"https:\/\/doseme-rx.com\/vancomycin\/articles\/dos-and-donts-bayesian-dosing\" target=\"_blank\" rel=\"noreferrer noopener\">Do&#8217;s and Don&#8217;ts of Bayesian Dosing.<\/a><\/p>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile has-lightgrey-color has-lightgrey-background-color has-text-color has-background\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"940\" height=\"788\" src=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-2.png\" alt=\"\" class=\"wp-image-9187 size-full\" srcset=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-2.png 940w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-2-300x251.png 300w, https:\/\/doseme-rx.com\/wp-content\/uploads\/2022\/01\/protocol_spread_v3-2-768x644.png 768w\" sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h3 class=\"wp-block-heading\">A Step-by-Step Guide to Developing a Best Practice Protocol for Bayesian-Guided Vancomycin Dosing<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/doseme-rx.com\/wp-content\/uploads\/2024\/09\/DoseMe_Guide-to-Creating-a-Protocol_2024.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download now<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:28px\" 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 () 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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 gform-field-label' for='input_11_14'>Questions or comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_11_14' class='textarea large'    placeholder='Questions or comments'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_11_7\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_7' id='input_11_7' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='216.73.216.147' \/><\/div><\/div><div id=\"field_11_8\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_8' id='input_11_8' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_11_10\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_10' id='input_11_10' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_11_15\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below 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There are several factors to consider, one of which may be, where to begin developing your updated vancomycin dosing protocol? Dr. Shivani Patel, PharmD, BCPS, Clinical Pharmacy Specialist, Infectious Diseases at [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":9607,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[26],"tags":[],"article-type":[],"class_list":["post-9149","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 v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to Create a Vancomycin AUC-based Protocol in 5 Steps &#8226; DoseMeRx<\/title>\n<meta name=\"description\" content=\"We outline the steps taken by Memorial Hermann Health System to develop a protocol for vancomycin AUC dosing. 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