An emotional-based medicine approach to monitoring once-daily aminoglycosides

As the concepts of evidence-based health care become entwined into pharmacy practice, it is interesting to watch the use and monitoring of once-daily aminoglycosides (ODA) evolve. Many years ago, the monitoring of aminoglycos ide serum concentrations was an inroad that allowed us, as hospital pharmac ists, to get up on the wards and become directly involved in patient care. Fortunately, this practice was developed before the advent of evidence-base d health care because the evidence to support aminoglycoside serum concentr ation monitoring was suspect at best.