Note
Consider a loading dose of 25-30 mg/kg IV if severe infection, adjusting maintenance doses based on renal function
Dosing based on actual body weight
Maximum of 2g/dose for initial maintenance doses (prior to vancomycin levels)
Adjust dose for serum drug levels where applicable. For prolonged therapies, consider pharmacy consult for appropriate dosing and monitoring
Target Trough of 10-15 mg/L for ALL infections
15 mg/kg IV q8-12h
15 mg/kg IV q24h