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Table 5 Comparison of demographics, comorbid conditions, and clinical characteristics across vancomycin treatment

From: Practical approaches to improve vancomycin-related patient outcomes in pediatrics- an alternative strategy when AUC/MIC is not feasible

Variables

SD-group

(n = 89)

HD-group

(n = 139)

P value

Vancomycin dose (mg/kg/d)a

55.2 ± 4.4

72 ± 8.9

 < 0.001

No. of patients in different age groupsb

 Group –I

14 (15.7)

31 (22.3)

 < 0.001

 Group –II

31 (34.8)

39 (28.1)

0.027

 Group -III

10 (11.2)

45 (32.3)

 < 0.001

 Group -IV

34 (38.2)

24 (17.2)

0.045

Concomitant inotropic supporta

 Yes

24 (21.4)

49 (35.3)

0.045

Concomitant nephrotoxic druga,e

 1 Medicine

56 (62.9)

110 (79.2)

0.008

 2 Medicines

43 (48.3)

78 (56.2)

0.007

 3 Medicines

8 (8.9)

22 (15.8)

0.016

 4 or more Medicines

4 (4.5)

11 (7.9)

0.045

Culture proven infectiona

 Yes

51 (57.3)

99 (71.2)

0.003

Identified Pathogena

 Coagulase-negative Staphylococcus spp.

16 (17.9)

22 (15.8)

0.087

 MRSA

12 (13.5)

21 (15.1)

0.077

 Enterococcus spp.

7 (7.8)

19 (13.7)

0.045

 Streptococci pneumoniae

8 (8.9)

11 (7.9)

0.091

 Othersd

8 (8.9)

26 (18.7)

0.004

Baseline serum creatinine (mg/dL)a

0.55 ± 0.21

0.54 ± 0.23

0.067

Duration of therapy (days)c

Culture proven

 Median (range) Mean (SD)

20 (11–35) 18.4 ± 12.2

18 (9–26) 15.1 ± 8.9

0.025

Clinical sepsis

 Median (range) Mean (SD)

6 (3–9) 5.8 ± 4.4

7 (5–7) 5.7 ± 3.2

0.071

Outcome of therapy

 Developed nephrotoxicityb

11 (9.9)

14 (10.1)

0.086

 Developed Electrolyte imbalanceb

16 (17.9)

22 (15.8)

0.078

 Length of hospital stayc

22 (8–55)

16 (8–37)

0.011

 Survivalb

75 (84.3)

129 (92.8)

0.008

  1. SD-group Standard dose group, HD-group High dose group
  2. aData presented as mean (SD); bdata presented as n (%); cdata presented as median (range)
  3. Group -I: children of age 3–6 months; Group -II: children of > 6 month–2 years; Group -III: children of > 2 to 6 years; Group -IV: children of > 6 to 12 years
  4. MRSA Methicillin-resistant Staphylococcus aureus; dother isolated pathogens include Methicillin-susceptible Staphylococcus aureus, Beta-hemolytic Streptococcus, group B, and gram-negative pathogens
  5. eConcomitant nephrotoxic drug includes amphotericin B, IV acyclovir, IV contrast, aminoglycoside piperacillin/tazobactam, furosemide, ACE inhibitor or ARBs and vasopressin