Evidence map›Paper›PMID 29105799›Full record

Trial reportBritish journal of clinical pharmacology2018

Microdialysis as a tool to determine the local tissue concentration of dicloxacillin in man.

Kristian Kraft Hansen, Flemming Nielsen, Tore Bjerregaard Stage, Uffe Jørgensen, Ole Skov, Lasse E Rasmussen

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

6 authors at 3 institutions in 1 country.

Kristian Kraft HansenOrthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Clausens alle 26, st, 5250, Odense, SV, Denmark.ORCID 0000-0002-5505-938X
Flemming NielsenClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense, SV, Denmark.
Tore Bjerregaard StageClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense, SV, Denmark.ORCID 0000-0002-4698-4389
Uffe JørgensenOrthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Clausens alle 26, st, 5250, Odense, SV, Denmark.
Ole SkovOrthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Clausens alle 26, st, 5250, Odense, SV, Denmark.
Lasse E RasmussenDepartment of Orthopedic Surgery, Vejle Hospital, Vejle, Denmark.
Odense University Hospital · DKUniversity of Southern Denmark · DKVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe most common pathogen to cause postoperative infections in Denmark is Staphylococcus aureus. Despite using prophylactic antibiotics, infections are still seen. Whether the tissue concentration is above the minimal inhibitory concentration (MIC) for the pathogen is unknown. Thus, the concentration of dicloxacillin in muscle and adipose tissue was measured after intravenous administration, in healthy men.

methodsMIC for dicloxacillin against S. aureus was determined using the broth macrodilution method. A microdialysis (MD) catheter was placed in the subcutaneous tissue of the abdomen and in the lateral vastus muscle of the thigh of six healthy male volunteers. They were given 2 g dicloxacillin intravenously. Samples from blood and MD fluid were collected. The unbound dicloxacillin was isolated from plasma. Samples were analysed with high performance liquid chromatography (HPLC).

resultsThe maximum concentration was reached in muscle tissue after 0.5 h and in adipose tissue after 0.8 h. AUC

conclusionsThe unbound dicloxacillin concentration in adipose and muscle tissue remained above the MIC for sensitive S. aureus, for a period sufficient for many orthopaedic procedures. Whether this is true in patients with compromised circulation remains to be investigated.

Indexed as

Adipose TissueAdministration, IntravenousAdultAnti-Bacterial AgentsArea Under CurveChromatography, High Pressure LiquidDicloxacillinHumansMaleMicrobial Sensitivity TestsMicrodialysisMuscle, SkeletalStaphylococcus aureusTissue DistributionAnti-Bacterial AgentsDicloxacillindicloxacillinmicrodialysisprophylactic antibioticstissue pharmacokinetics

Identifiers

PMID29105799
PMCPMC5809352
OpenAlexW2766172749

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.