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HelpTest Code VAN Vancomycin
Methodology
Chemiluminescence
Specimen Requirements
Please use preferred tube types whenever possible.
Preferred Container/Tube Type: Green Top (Lithium Heparin) Tube
Alternate Serum Separator Tube (SST)
Transport refrigerated.
Collection Instructions: Trough specimen should be drawn immediately prior to a dose. A peak specimen is not recommended. Contact Pharmacy at 302-645-3224.
Note: Time of patient’s last dose is required.
Day(s) Test Set Up
Monday through Sunday
Reference Values
| Call Back Values | Results |
|---|---|
| Not Toxic, but require call ASAP | 30-60 µg/mL |
| Critical Value | >60 µg/mL |
Additional information will accompany vancomycin results as follows:
| Indication | Desired Vancomycin Trough Level (µg/mL) |
|---|---|
| Soft Tissue Infection | 10-15 µg/mL (a) |
| Bacteremia | 10-15 µg/mL (a) |
| Endocarditis | 10-15 µg/mL (b) or 15-20 µg/mL (a) |
| Pneumonia | 15-20 µg/mL(c) |
| Meningitis | 15-20 µg/mL(a) |
| Osteomyelitis | 10-15 µg/mL (d) or 15-20 µg/mL (a) |
| (a) ASHP,IDSA,SIDPVancomycin Treatment Guidelines,
ClinicalInfectious Diseases 2009; 49:325-7 (b) June 2005 AHA Endocarditis Treatment Guidelines.Circulation 2005; 111:3167-3184 (c) ATS/IDSA Nosocomial Pneumonia Guidelines. Am J RespirCritCare Med 2005; 171:388-416 (d) Based on MIC <2 and 50% bone penetration. Antimicr AgentsChemother, Nov 1992; p.2539-2541 |
|
Test Classification and CPT Coding
80202
Performing Laboratory
Beebe Healthcare Laboratory
Performing Location
Margaret H. Rollins Laboratory
Specimen Tube Color
| Tube Cap Color | Tube Name | |
|---|---|---|
| Primary | Mint Green Lithium Heparin | |
| Alternate | Serum Separator Tubes (SST) |