Evidence map›Paper›PMID 30581880›Full record

ArticleOpen forum infectious diseases2018

Time for Precision: A World Without Susceptibility Breakpoints.

Justin C Bader, Elizabeth A Lakota, David R Andes, Christopher M Rubino, Paul G Ambrose, Sujata M Bhavnani

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. ResFinder 4.0 for predictions of phenotypes from genotypes.The Journal of antimicrobial chemotherapy · 2020
    Article
  6. 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.

Justin C BaderInstitute for Clinical Pharmacodynamics, Schenectady, New York.
Elizabeth A LakotaInstitute for Clinical Pharmacodynamics, Schenectady, New York.
David R AndesUniversity of Wisconsin, Madison, Wisconsin.
Christopher M RubinoInstitute for Clinical Pharmacodynamics, Schenectady, New York.
Paul G AmbroseInstitute for Clinical Pharmacodynamics, Schenectady, New York.
Sujata M BhavnaniInstitute for Clinical Pharmacodynamics, Schenectady, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interpretive criteria for in vitro susceptibility testing criteria, "susceptibility breakpoints," underpin the evaluation and selection of antimicrobial regimens. However, despite their strengths, susceptibility breakpoints are a relatively blunt instrument employed to address an extremely complex question-what is the likelihood of treatment success for individual patients? With regard to evaluating patients on a case-by-case basis, breakpoints merely allow us to account for pathogen susceptibility. This approach precludes consideration of drug exposures achieved in patients, thus overlooking half of the equation for predicting treatment success. Herein, we propose the framework for considering both pathogen- and patient-specific information to provide clinicians a means of evaluating antimicrobial regimens for individual patients through tools automating pharmacokinetic-pharmacodynamic target attainment analyses. Implementing these tools along with their acceptance by professional organizations will allow for a shift in the paradigm for how antimicrobials are selected and dosed-toward patient-centered care through precision medicine.

Indexed as

in vitro susceptibility testing criteriapharmacokineticpharmacokinetics-pharmacodynamicsprecision medicinesusceptibility breakpoints

Identifiers

PMID30581880
PMCPMC6297858

What OpenQuestion holds

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LicenceCC BY
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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.