Evidence map›Paper›PMID 22715426›Full record

ArticleJRSM short reports2012

Improving dosing of gentamicin in the obese patient: a 3-cycle drug chart and case note audit.

Joseph G Manjaly, Alexander M Reece-Smith, Sivan S Sivaloganathan, Christina Thuraisamy, Katie Lm Smallwood, Elizabeth Jonas, Robert J Longman

Open access · diamondAbstract read
In one paragraph

Article in JRSM short reports, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Joseph G ManjalyCST1 , Salisbury NHS Foundation Trust , Salisbury , UK.
Alexander M Reece-Smith
Sivan S Sivaloganathan
Christina Thuraisamy
Katie Lm Smallwood
Elizabeth Jonas
Robert J Longman
University Hospitals Bristol NHS Foundation Trust · GBNottingham University Hospitals NHS Trust · GBSalisbury NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the use of an electronic dose calculator to improve accuracy in the use of a complex Gentamicin prescription policy and assess turnaround time of blood sampling to dose delivery in an NHS hospital.

designRetrospective review of drug chart, case notes and hospital antibiotic database.

settingUniversity Hospitals Bristol, UK

participantsPatients receiving once daily intravenous gentamicin using the trust protocol, during the same time window for 3 consecutive years.

main outcome measuresi) Accuracy of dose and frequency prescription of Gentamicin. ii) Time frame for measurement of serum Gentamicin levels.

resultsFollowing the introduction of the online calculator, prescribing errors in obese patients dropped from 43% to 20%, a similar level as in non-obese patients. Errors in frequency calculations dropped from 12.8% to 4%. On average, drug doses could be administered within 2.5 hours of a blood sample being taken.

conclusionsOnline tools can be used to improve prescribing for the complex dosing policies that will increasingly been required to tailor prescribing in obese patients. Serum gentamicin levels can be measured within a 2.5 hour time frame in the environment of an NHS hospital.

Identifiers

PMID22715426
PMCPMC3375840
OpenAlexW2018330033

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.