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Proof of Concept / Clinical PK Tool

Bayesian Vancomycin
PK Calculator

An advanced pharmacokinetic calculator implementing Bayesian Maximum A Posteriori (MAP) estimation for individualized vancomycin dosing. Supports multiple validated population PK models, AUC-guided dosing per ASHP/IDSA 2020 consensus guidelines, and real-time concentration-time profiling.

5 Population PK ModelsBayesian MAP EstimationAUC/MIC TargetingCockcroft-Gault CrClAllometric ScalingOne-Compartment IV InfusionMulti-Dose SuperpositionInteractive PK Curves

Clinical Disclaimer: This tool is a proof-of-concept for portfolio demonstration purposes only. It is NOT validated for clinical use and should NOT be used for patient care decisions. All pharmacokinetic models are approximations of published parameters. Clinical vancomycin dosing should be performed using validated, institution-approved software and verified by a licensed pharmacist.

01

Patient Demographics

02

Population PK Model

Select PK Model
03

Dosing & Targets

Current Dosing

Targets

04

Observed Drug Levels (Bayesian Updating)

Enter measured vancomycin serum levels to refine PK estimates via Bayesian MAP estimation. The algorithm updates population priors with patient-specific data to generate individualized parameters.

Observed Levels

No observed levels entered

Add drug levels to enable Bayesian parameter estimation

05

Estimated PK Parameters

Population Estimate
CL (L/hr)
7.183
Vd (L)
49.70
ke (hr¹)
0.1445
Half-life (hr)
4.8
06

Concentration-Time Profile

Concentration-Time Profile (72 hr)

Blue line: predicted concentration curve | Red dots: observed levels | Green band: target trough range

07

Dose Recommendations

Dose (mg)IntervalPred PeakPred TroughAUC₂₄/MICRationale
1750Recommended
q12h40.9 mg/L8.1 mg/L487AUC₂₄/MIC 487 within target 400-600
1250
q8h35.8 mg/L12.4 mg/L522AUC₂₄/MIC 522 within target 400-600
2000
q12h46.7 mg/L9.3 mg/L557AUC₂₄/MIC 557 within target 400-600
1000
q8h28.7 mg/L9.9 mg/L418AUC₂₄/MIC 418 within target 400-600
1500
q12h35.1 mg/L7.0 mg/L418AUC₂₄/MIC 418 within target 400-600

Technical Architecture

Bayesian MAP

Grid-search optimization minimizing the MAP objective function with log-normal priors. Two-phase approach: coarse grid (30×20) followed by fine refinement (20×20) around the optimum.

PK Engine

One-compartment IV infusion model with multi-dose superposition. Steady-state peak/trough via accumulation factor. AUC₂₄ calculated both analytically (Dose₂₄/CL) and via trapezoidal integration.

Population Models

Five validated models spanning 1984-2018: Matzke, Bauer, Thomson, Crass, and Empiric Trough. Each provides population priors for CL and Vd with inter-individual variability (BSV) estimates.

References

  • Rybak MJ, et al. Therapeutic monitoring of vancomycin for serious MRSA infections: ASHP/IDSA/SIDP 2020 Update. Am J Health-Syst Pharm. 2020;77(11):835-864.
  • Crass RL, et al. Renal dosing of vancomycin. Clin Infect Dis. 2020;71(6):1560-1567.
  • Thomson AH, et al. Development and evaluation of vancomycin dosage guidelines. J Antimicrob Chemother. 2009;63(5):1050-1057.
  • Bauer LA. Applied Clinical Pharmacokinetics. 2nd ed. McGraw-Hill; 2008.
  • Matzke GR, et al. Clinical pharmacokinetics of vancomycin. Antimicrob Agents Chemother. 1984;25(4):433-437.