The study of Vancomycin monitoring system in Hua Hin hospital

Abstract

From data of antibiotic monitoring year 2017 of medicine and surgery in-patient department Hua Hin hospital found that Vancomycin was the third drugs that occurred problem in prescribing process and needed therapeutic drug monitoring for treatment efficacy and prevent adverse drug reactions.To study types of problem which occurred from therapeutic monitoring of Vancomycin in in- patient Hua Hin hospital. We performed a retrospective descriptive study in inpatient who received Vancomycin from January 2016 toMarch 2017 There were 49 patients that received Vancomycin which divided into group normal renal function 17 patients and abnormal kidney function 32 patients The result of the efficacy of treatment by assessment Vancomycin level. We found that 11 patients (22.0%) had a Vancomycin level in therapeutic range and 21 patients ( 43. 0% ) had Vancomycin level lower than therapeutic range. The problems analysis of therapeutic drug monitoring had some patients ( 9 patients) was received inappropriate collecting time of blood for assessment Vancomycin level. There were 49 patients that received therapeutic drug monitoring which the doctor acceptance, 42 patients ( 85. 0% ) were accepted from doctor for adjustment dose of Vancomycin. Therapeutic level monitoring was needed to do in every patients who received Vancomycin. Method and time of blood collecting time were important issues that doctors and nurses need to know.