Evidence map›Paper›PMID 28805964›Full record

ArticleBritish journal of clinical pharmacology2018

Therapeutic drug monitoring of voriconazole for treatment and prophylaxis of invasive fungal infection in children.

Sarah Allegra, Giovanna Fatiguso, Silvia De Francia, Fabio Favata, Elisa Pirro, Chiara Carcieri, Amedeo De Nicolò, Jessica Cusato, Giovanni Di Perri, Antonio D'Avolio

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  8. Review
  9. Higher Weight-Based Doses Are Required to Achieve and Maintain Therapeutic Voriconazole Serum Trough Concentrations in Children.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
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  11. Comparison of LC-MSMolecules (Basel, Switzerland) · 2022
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  14. Review
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  16. Determination of Voriconazole Plasma Concentration by HPLC Technique and Evaluating Its Association with Clinical Outcome and Adverse Effects in Patients with Invasive Aspergillosis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
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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 2 institutions in 1 country.

Sarah AllegraDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.ORCID http://orcid.org/0000-0003-4933-0011
Giovanna FatigusoDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.
Silvia De FranciaDepartment of Biological and Clinical Sciences, University of Turin, S. Luigi Gonzaga Hospital, Orbassano (TO), Italy.
Fabio FavataDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.
Elisa PirroDepartment of Biological and Clinical Sciences, University of Turin, S. Luigi Gonzaga Hospital, Orbassano (TO), Italy.
Chiara CarcieriDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.
Amedeo De NicolòDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.
Jessica CusatoDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.
Giovanni Di PerriDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.
Antonio D'AvolioDepartment of Medical Sciences, University of Turin - ASL "Città di Torino", Laboratory of Clinical Pharmacology and Pharmacogenetics*, Amedeo di Savoia Hospital, Turin, Italy.ORCID http://orcid.org/0000-0002-1321-4126
Ospedale Amedeo di Savoia · ITOspedale San Luigi Gonzaga · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Voriconazole therapeutic drug monitoring is not consistently recommended due to its high interpatient and intrapatient variability. Here, we aimed to describe our experience with voriconazole for treatment and prophylaxis of invasive fungal infections in paediatric patients. A fully validated high-performance liquid chromatography-mass spectrometry method was used to quantify voriconazole concentration in plasma, at the end of dosing interval. A high interindividual variability was shown. We enrolled 237 children, 83 receiving intravenous and 154 oral voriconazole. A positive correlation between drug dose and drug plasma exposure was observed. Considering intravenous route, patients with higher serum creatinine had higher voriconazole concentrations; a positive correlation was found among drug exposure and age. Sex significantly influenced drug levels: males had higher median drug concentrations than females (P < 0.001). Close voriconazole pharmacokinetics monitoring should help individualize antifungal therapy for children.

Indexed as

Administration, IntravenousAdministration, OralAdolescentAge FactorsAntifungal AgentsBiological Variation, PopulationChildChild, PreschoolChromatography, High Pressure LiquidCreatinineDose-Response Relationship, DrugDrug MonitoringFemaleHumansInvasive Fungal InfectionsMaleAntifungal AgentsCreatinineVoriconazoleantifungalshigh-performance liquid chromatographyinvasive fungal infectionstherapeutic drug monitoringtriazoles

Identifiers

PMID28805964
PMCPMC5736853
OpenAlexW2748580511

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.