Vancomycin Trough Level

Therapeutic Drug Monitoring

Normal Reference Ranges

Adult

10.0 - 20.0 (Target dependent on infection severity) mcg/mL

Pediatric

Same as adult mcg/mL

Clinical Significance

Ensures therapeutic efficacy and limits nephrotoxicity in treating serious MRSA or enterococcal infections.

Causes of High

  • Renal clearance impairment
  • Vancomycin overdose

Causes of Low

  • Subtherapeutic dosing
  • Augmented renal clearance