Vancomycin Nephrotoxicity

A review of vancomycin nephrotoxicity is available here.

The IDSA guidelines for therapeutic drug monitoring of vancomycin here.

The first vancomycin trough achieved seems to have predictive value for who will develop nephrotoxicity.

The role of dialysis in acute vancomycin mediated renal injury is discussed here (little evidence from which to draw conclusions, but seems reasonable).