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Vancomycin Level Trough

eD-H Order Code

LAB39

Specimen Collection Information

Specimen Minimum Test Volume Container Special Handling
Blood 0.1 ML  

Specimen Transport Temperature

Refrigerated

Reference Ranges / Critical Values

Assay Gender Age Range Normal Range Critical Values Units
Vanco Tr All 0 Minutes – 150 Years   >20.0 mg/L

Additional Specimen Instructions

Trough level should be drawn 0-90 minutes (30 minutes optimal) before the dose.. Samples for antibiotic therapeutic drug monitoring are ideally drawn via peripheral venipuncture. When peripheral venipuncture is not possible refer to DH procedure ID 234 for guidance on appropriate collection site and steps to adequately flush the catheter/line. Subcutaneous ports (e.g. Mediports) should be avoided for sample collection due to a high risk of sample contamination.

Interpretive Data

Assay Display Interpretive Data
Vanco Tr Therapeutic range for complicated infections such as bacteremia endocarditis osteomyelitis meningitis and hospital-acquired pneumonia caused by S. aureus: 15-20 mg/L Therapeutic range for other indications: 10-15 mg/L Toxic: >20 mg/L Reference: Vancomycin Therapeutic Monitoring: Review and Recommendations from the ASHP IDSA and SIDP Task Force. Am J Health-Syst Pharm. 2009; 66:82-98

Day(s) Performed

Monday through Sunday; continuously

Performing Lab Section

Chemistry

CPT Code

80202