Evidence map›Paper›PMID 31871885›Full record

ArticleRespiratory medicine case reports2020

Therapeutic drug monitoring-guided high dose meropenem therapy of a multidrug resistant

U Liebchen, M Paal, J Jung, I Schroeder, L Frey, M Zoller, C Scharf

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respiratory medicine case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 38% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. The intricacies ofFrontiers in microbiology · 2025
    Review
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  4. Treatment of infections caused by carbapenem-resistantFrontiers in cellular and infection microbiology · 2024
    Review
  5. Identification of theJournal of clinical medicine · 2023
    Article
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  7. Review
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  9. 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

7 authors at 2 institutions in 1 country.

U LiebchenDepartment of Anaesthesiology, University Hospital, LMU Munich, Germany, Marchioninistr. 15, 81377, Munich, Germany.
M PaalInstitute of Laboratory Medicine, University Hospital, LMU Munich, Germany, Marchioninistr. 15, 81377, Munich, Germany.
J JungMax-von-Pettenkofer-Institute Munich, Ludwig Maximilian University, Munich, Germany.
I SchroederDepartment of Anaesthesiology, University Hospital, LMU Munich, Germany, Marchioninistr. 15, 81377, Munich, Germany.
L FreyDepartment of Anaesthesiology, University Hospital, LMU Munich, Germany, Marchioninistr. 15, 81377, Munich, Germany.
M ZollerDepartment of Anaesthesiology, University Hospital, LMU Munich, Germany, Marchioninistr. 15, 81377, Munich, Germany.
C ScharfDepartment of Anaesthesiology, University Hospital, LMU Munich, Germany, Marchioninistr. 15, 81377, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfections with multidrug resistant Acinetobacter baumannii in immunocompromised patients are life-threatening. Therapeutic options are rare in this context, but patients are dependent on an effective antibiotic therapy. Thus, new antibiotic strategies are deemed necessary. CASE PRESENTATION: This case report recounts the therapeutic drug monitoring-guided meropenem therapy of a 32 years old patient admitted with acute exacerbation of cystic fibrosis. Veno-venous extracorporeal membrane oxygenation was initiated on the first day of admission to the intensive care unit. The patient showed insufficient serum trough levels of meropenem despite the maximum approved dose (2g every 8h) was administered which was due to augmented renal clearance. Through continuous infusion of the same cumulative dose, target levels were reached. On day 17 of admission, the patient underwent successful double-lung-transplant surgery and extracorporeal membrane oxygenation was ended. Unfortunately, the donor's lung was colonized with a multidrug resistant

conclusionsTherapeutic drug monitoring-guided meropenem may be a sound new therapeutic option in eradicating multidrug resistant Acinetobacter and offer a novel therapeutic option in the field of personalized medicine.

Indexed as

Acinetobacter baumanniiAugmented renal clearanceBacterial resistanceLung transplantationMeropenemTherapeutic drug monitoring

Identifiers

PMID31871885
PMCPMC6909205
OpenAlexW2984879588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.