Evidence map›Paper›PMID 30414213›Full record

ArticleBritish journal of clinical pharmacology2019

Successful and safe long-term treatment of cerebral aspergillosis with high-dose voriconazole guided by therapeutic drug monitoring.

Pier Giorgio Cojutti, Maria Merelli, Lorenzo Allegri, Giuseppe Damante, Matteo Bassetti, Federico Pea

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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 2 institutions in 1 country.

Pier Giorgio CojuttiDepartment of Medicine, University of Udine, Udine, Italy.
Maria MerelliClinic of Infectious Diseases, Santa Maria della Misericordia University Hospital, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Lorenzo AllegriDepartment of Medicine, University of Udine, Udine, Italy.
Giuseppe DamanteDepartment of Medicine, University of Udine, Udine, Italy.
Matteo BassettiDepartment of Medicine, University of Udine, Udine, Italy.
Federico PeaDepartment of Medicine, University of Udine, Udine, Italy.ORCID 0000-0002-6966-7167
University of Udine · ITOspedale Santa Maria della Misericordia di Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a patient who had cerebral aspergillosis after otorhinolaryngologic surgery and who was successfully and safely treated with high-dose voriconazole (200 mg q6h) for more than 1 year thanks to a TDM-guided approach coupled with pharmacological review and with genotyping of CYP2C19 polymorphisms. The findings support the idea that personalized medicine based on TDM coupled with the need of avoiding drug-drug interactions may be helpful for maximizing the net benefit (probability of efficacy vs. probability of adverse events) of voriconazole in the management of long-term treatment of cerebral aspergillosis.

Indexed as

Antifungal AgentsAspergillus fumigatusBrainCytochrome P-450 CYP2C19Dose-Response Relationship, DrugDrug InteractionsDrug MonitoringHumansLong-Term CareMagnetic Resonance ImagingMaleMiddle AgedNeuroaspergillosisOtorhinolaryngologic Surgical ProceduresPharmacogenomic TestingPolymorphism, GeneticAntifungal AgentsCYP2C19 protein, humanCytochrome P-450 CYP2C19Voriconazoleclinical pharmacologycytochrome P450genetic polymorphisminfectious diseasespharmacokineticstherapeutic drug monitoring

Identifiers

PMID30414213
PMCPMC6303198
OpenAlexW2899757862

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.