Evidence map›Paper›PMID 29211877›Full record

ReviewThe Journal of antimicrobial chemotherapy2018

Delivering precision antimicrobial therapy through closed-loop control systems.

T M Rawson, D O'Hare, P Herrero, S Sharma, L S P Moore, E de Barra, J A Roberts, A C Gordon, W Hope, P Georgiou and 2 more

Abstract readReview
In one paragraph

Review in The Journal of antimicrobial chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Studies in mycology · 2021
    Review
  13. Review
  14. Article
  15. Diagnostic and medical needs for therapeutic drug monitoring of antibiotics.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Review
  16. Article
  17. Review
  18. Target-Controlled Infusion of Cefepime in Critically Ill Patients.Antimicrobial agents and chemotherapy · 2019
    Article
  19. Article
  20. 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

12 authors.

T M RawsonNational Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 0NN, UK.
D O'HareDepartment of Bioengineering, Imperial College London, London SW7 2AZ, UK.
P HerreroDepartment of Electrical and Electronic Engineering, Imperial College London, South Kensington Campus, London SW7 2AZ, UK.
S SharmaCollege of Engineering, Swansea University, Swansea SA1 8EN, UK.
L S P MooreNational Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 0NN, UK.
E de BarraImperial College Healthcare NHS Trust, Hammersmith Hospital, Du Cane Road, Acton W12 0NN, UK.
J A RobertsUniversity of Queensland Centre for Clinical Research, Faculty of Medicine and Centre for Translational Pharmacodynamics, School of Pharmacy, The University of Queensland, Brisbane, Australia.
A C GordonSection of Anaesthetics, Pain Medicine & Intensive Care, Imperial College London, London SW7 2AZ, UK.
W HopeDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, UK.
P GeorgiouDepartment of Electrical and Electronic Engineering, Imperial College London, South Kensington Campus, London SW7 2AZ, UK.
A E G CassDepartment of Chemistry & Institute of Biomedical Engineering, Imperial College London, Kensington Campus, London SW7 2AZ, UK.
A H HolmesNational Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 0NN, UK.

Funding

Department of Health II-LA-0214-20008Department of Health II-LA-0313-20004Department of Health NIHR/CS/009/007Department of Health RP-2015-06-018
6 · The paper itself

Abstract

Sub-optimal exposure to antimicrobial therapy is associated with poor patient outcomes and the development of antimicrobial resistance. Mechanisms for optimizing the concentration of a drug within the individual patient are under development. However, several barriers remain in realizing true individualization of therapy. These include problems with plasma drug sampling, availability of appropriate assays, and current mechanisms for dose adjustment. Biosensor technology offers a means of providing real-time monitoring of antimicrobials in a minimally invasive fashion. We report the potential for using microneedle biosensor technology as part of closed-loop control systems for the optimization of antimicrobial therapy in individual patients.

Indexed as

Anti-Bacterial AgentsBiosensing TechniquesDrug MonitoringDrug TherapyDrug UtilizationHumansPrecision MedicineAnti-Bacterial Agents

Identifiers

PMID29211877
PMCPMC5890674

What OpenQuestion holds

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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.