• DICP · Jun 1991

    Comparative Study

    Three-point versus two-point method for early individualization of aminoglycoside doses.

    • J P Jameson and J A Lewis.
    • School of Pharmacy, Ferris State University, Big Rapids, MI 49307.
    • DICP. 1991 Jun 1;25(6):635-7.

    AbstractAn approach using two serum concentrations following the initial dose of an aminoglycoside was retrospectively evaluated using the first and third samples from all three-point studies conducted by the pharmacokinetic consult service in 1988. The same Sawchuk and Zaske method was used for the three-point and two-point studies. Although the predicted peaks and troughs from the two-point study were statistically different from those of the three-point study, it is the authors' opinion that the root mean squared error of 0.38 mg/L (95% confidence interval [CI] 0.31-0.45) for the peaks and 0.09 mg/L (95% CI 0.06-0.11) for troughs is well within the limits of acceptable clinical error for gentamicin and tobramycin. Eliminating one-third of initial aminoglycoside concentrations could result in significant time and cost savings.

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