Dear All
Recently some of the NICU Physicians raise an issue on efficacy/Potency of Vancomycin 5 mg/ml in Dextrose 5% W/V syringes that are supplied from our IV admixture unit.
They suspect the concentration of the active ingredient is less in the syringes, as they did therapeutic drug monitoring. Recently I spoke to one of the NICU specialists regarding the wrong frequency of Vancomycin (As per NICU Antibiotic guideline), he told that this baby’s TDM result shows very low trough, so he increased the frequency from Q8 Hourly to Q6 Hourly.
What is your hospital practice in supplying antibiotic prepared in pharmacy?
Regards
Wessam Elkassem
Pharmacist