Evidence map›Paper›PMID 30156005›Full record

ArticlePharmacology research & perspectives2018

Vancomycin therapeutic drug monitoring and population pharmacokinetic models in special patient subpopulations.

Joaquim F Monteiro, Siomara R Hahn, Jorge Gonçalves, Paula Fresco

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pharmacology research & perspectives, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04758442 (Optimal Dosing of Vancomycin in an Adult Population of Hemato-oncology), which is not on this map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
5.4field-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.

NCT04758442 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Optimal Dosing of Vancomycin in an Adult Population of Hemato-oncology: a Nomogram Based on a Bayesian Population Model to Predict Initial Dosage of Vancomycin

TypeinterventionalSponsorCiusss de L'Est de l'Île de MontréalRan2021 to 2021Enrolled40ConditionsVancomycin, Hematologic Malignancies, Febrile NeutropeniaArmsAdditional blood sample
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Updated antimicrobial dosing recommendations for obese patients.Antimicrobial agents and chemotherapy · 2024
    Pooled it
  2. Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. DeepTDM: Deep Learning-Based Prediction of Sequential Therapeutic Drug Monitoring Levels of Vancomycin.IEEE journal of translational engineering in health and medicine · 2025
    Article
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  15. Review
  16. Article
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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

4 authors at 2 institutions in 2 countries.

Joaquim F MonteiroFaculdade de Medicina da Universidade do Porto (FMUP), Porto, Portugal.ORCID 0000-0002-1635-8811
Siomara R HahnInstituto de Ciências Biológicas, Curso de Farmácia, Universidade de Passo Fundo (UPF), Passo Fundo, Brasil.
Jorge GonçalvesLaboratório de Farmacologia, Departamento de Ciências do Medicamento, Faculdade de Farmácia da Universidade do Porto (FFUP), Porto, Portugal.
Paula FrescoLaboratório de Farmacologia, Departamento de Ciências do Medicamento, Faculdade de Farmácia da Universidade do Porto (FFUP), Porto, Portugal.ORCID 0000-0001-6705-7798
Universidade do Porto · PTUniversidade de Passo Fundo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vancomycin is a fundamental antibiotic in the management of severe Gram-positive infections. Inappropriate vancomycin dosing is associated with therapeutic failure, bacterial resistance and toxicity. Therapeutic drug monitoring (TDM) is acknowledged as an important part of the vancomycin therapy management, at least in specific patient subpopulations, but implementation in clinical practice has been difficult because there are no consensus and agglutinator documents. The aims of the present work are to present an overview of the current knowledge on vancomycin TDM and population pharmacokinetic (PPK) models relevant to specific patient subpopulations. Based on three published international guidelines (American, Japanese and Chinese) on vancomycin TDM and a bibliographic review on available PPK models for vancomycin in distinct subpopulations, an analysis of evidence was carried out and the current knowledge on this topic was summarized. The results of this work can be useful to redirect research efforts to address the detected knowledge gaps. Currently, TDM of vancomycin presents a moderate level of evidence and practical recommendations with great robustness in neonates, pediatric and patients with renal impairment. However, it is important to investigate in other subpopulations known to present altered vancomycin pharmacokinetics (eg neurosurgical, oncological and cystic fibrosis patients), where evidence is still unsufficient.

Indexed as

Drug MonitoringModels, BiologicalAgedAnti-Bacterial AgentsBurnsChildCritical IllnessHematologic DiseasesHumansInfant, NewbornNeurosurgical ProceduresObesityRenal InsufficiencyVancomycinAnti-Bacterial AgentsVancomycinpharmacokineticsspecial subpopulationstherapeutic drug monitoringvancomycin

Identifiers

PMID30156005
PMCPMC6113434
OpenAlexW2889163406

What OpenQuestion holds

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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.