Spectrum: Local Antimicrobial Stewardship, for Fraser Health

Vancomycin Nomogram

Low-Target (Trough 10-15 mg/L)

Skin and soft tissue infection

Urinary tract infection

High-Target (Trough 15-20 mg/L)

Central nervous system infection

Deep-seated or sequestered infection (e.g., abscess)

Endocarditis

MRSA bacteremia

MSSA bacteremia (penicillin allergic patient)

Osteomyelitis or Septic Arthritis