Evidence map›Paper›PMID 25019523›Full record

ArticlePloS one2014

Continuous infusions of meropenem in ambulatory care: clinical efficacy, safety and stability.

Laurens Manning, Cameron Wright, Paul R Ingram, Timothy J Whitmore, Christopher H Heath, Ingrid Manson, Madhu Page-Sharp, Sam Salman, John Dyer, Timothy M E Davis

Registry-linked trialOpen access · goldAbstract readEvaluation Study
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04816968 (TAID Study - A Prospective Interventional Trial on Antibiotics Continuous Infusion at Home), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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.

NCT04816968 phase1unknown statusnot on this mapstarted 2021, after this paper: background citation

TAID Study - A Prospective Interventional Trial on Antibiotics Continuous Infusion at Home

TypeinterventionalSponsorOspedale San Carlo BorromeoRan2021 to 2023Enrolled50ConditionsSevere Bacterial InfectionsArmsCefepime, Piperacillin/tazobactam, Meropenem, Vancomycin
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The MOBILISE study: utilisation of ambulatory pumps in the inpatient setting to administer continuous antibiotic infusions-a randomised controlled trial.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Trial
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  14. Continuous infusion of antibiotics using elastomeric pumps in the hospital at home setting.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2021
    Observational
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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

10 authors at 4 institutions in 1 country.

Laurens ManningSchool of Medicine and Pharmacology, University of Western Australia, Fremantle Hospital, Fremantle, Western Australia, Australia; Department of Infectious Diseases, Fremantle Hospital and Health Service, Fremantle, Western Australia, Australia.
Cameron WrightPharmacy Department, Fremantle Hospital and Health Service, Fremantle, Western Australia, Australia.
Paul R IngramDepartment of Microbiology and Infectious Diseases, Royal Perth Hospital, Perth, Western Australia, Australia; School of Pathology and Laboratory Medicine, University of Western Australia, Perth, Western Australia, Australia.
Timothy J WhitmoreDepartment of Microbiology and Infectious Diseases, Royal Perth Hospital, Perth, Western Australia, Australia.
Christopher H HeathDepartment of Microbiology and Infectious Diseases, Royal Perth Hospital, Perth, Western Australia, Australia; School of Medicine and Pharmacology, University of Western Australia, Royal Perth Hospital, Perth, Western Australia, Australia.
Ingrid MansonPharmacy Department, Fremantle Hospital and Health Service, Fremantle, Western Australia, Australia.
Madhu Page-SharpSchool of Pharmacy, Curtin University, Bentley, Western Australia, Australia.
Sam SalmanSchool of Medicine and Pharmacology, University of Western Australia, Fremantle Hospital, Fremantle, Western Australia, Australia.
John DyerDepartment of Infectious Diseases, Fremantle Hospital and Health Service, Fremantle, Western Australia, Australia.
Timothy M E DavisSchool of Medicine and Pharmacology, University of Western Australia, Fremantle Hospital, Fremantle, Western Australia, Australia.
Fremantle Hospital · AURoyal Perth Hospital · AUUniversity of Western Australia · AUCurtin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesConcerns regarding the clinical impact of meropenem instability in continuous infusion (CI) devices may contribute to inconsistent uptake of this method of administration across outpatient parenteral antimicrobial therapy (OPAT) services.

methodsWe retrospectively reviewed the clinical efficacy and safety of CIs of meropenem in two Australian tertiary hospitals and assessed its stability under simulated OPAT conditions including in elastomeric infusion devices containing 1% (2.4 g) or 2% (4.8 g) concentrations at either 'room temperature' or 'cooled' conditions. Infusate aliquots were assayed at different time-points over 24 hours.

resultsForty-one (82%) of 50 patients had clinical improvement or were cured. Adverse patient outcomes including hemato-, hepato- and nephrotoxicity were infrequent. Cooled infusers with 1% meropenem had a mean 24-hour recovery of 90.3%. Recoveries of 1% and 2% meropenem at room temperature and 2% under cooled conditions were 88%, 83% and 87%, respectively. Patients receiving 1% meropenem are likely to receive >95% of the maximum deliverable dose (MDD) over a 24-hour period whilst patients receiving 2% meropenem should receive 93% and 87% of the MDD under cooled and room temperature conditions, respectively.

conclusionsMeropenem infusers are likely to deliver ∼95% MDD and maintain effective plasma concentrations throughout the dosing period. These data reflect our local favourable clinical experience with meropenem CIs.

Indexed as

Ambulatory CareAnti-Infective AgentsAustraliaDose-Response Relationship, DrugHumansInfusion PumpsInfusions, ParenteralMeropenemRetrospective StudiesTemperatureThienamycinsAnti-Infective AgentsMeropenemThienamycins

Identifiers

PMID25019523
PMCPMC4096762
OpenAlexW2168600867

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Registered trials

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.