Evidence map›Paper›PMID 32063809›Full record

ArticleDose-response : a publication of International Hormesis Society

Ceftolozane/Tazobactam Dosing Requirements Against

Jesus Ruiz, Alejandra Ferrada, Miguel Salavert, Mónica Gordon, Esther Villarreal, Álvaro Castellanos-Ortega, Paula Ramirez

Open access · goldAbstract read
In one paragraph

Article in Dose-response : a publication of International Hormesis Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 40% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Antimicrobial Treatment ofAntibiotics (Basel, Switzerland) · 2022
    Review
  3. Article
  4. New Perspectives on Antimicrobial Agents: Ceftolozane-Tazobactam.Antimicrobial agents and chemotherapy · 2021
    Review
  5. Ceftolozane/Tazobactam for Resistant DrugsLife (Basel, Switzerland) · 2021
    Review
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 1 institution in 1 country.

Jesus RuizIntensive Care Unit, IIS La Fe. Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID https://orcid.org/0000-0003-1233-1539
Alejandra FerradaPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Miguel SalavertInfectious Disease Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Mónica GordonIntensive Care Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Esther VillarrealIntensive Care Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Álvaro Castellanos-OrtegaIntensive Care Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Paula RamirezIntensive Care Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Hospital Universitari i Politècnic La Fe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the probability of reaching adequate pharmacokinetic/pharmacodynamics values for ceftolozane/tazobactam at different doses and degrees of renal functions in patients with

methodsSix dosing regimens were evaluated: 0.5/0.25 g, 1/0.5 g, and 2/1 g every 8 hours given as 1 hour or 3 hours infusions. Pharmacokinetic data were obtained from the literature. Susceptibility data to ceftolozane were collected from patients with

resultsThirty-seven strains were included. For ceftolozane, the probability of reaching a fT >40%MIC was greater than 90% for any degree of renal function. The probability of reaching a fT >100%MIC for 1 g dose infused over 1 hour and 3 hours was 82.2% and 86.4% for a creatinine clearance (ClCr) >90 mL/min. Using a 2 g dose, the probability was greater than 90% for both infusions rates. For tazobactam, the probability of reaching a value of fT >50% of the limit concentrations was greater than 90% for a ClCr of 70 mL/min. In the case of a ClCr >90 mL/min and limit concentration values ≥ 0.25 mg/mL, only extended infusions showed a probability >90%. CONCLUSIONS AND RELEVANCE: The standard doses of ceftolozane/tazobactam achieve an adequate fT >40%MIC value. However, doses of 2 g in extended infusion is necessary to reach a value of fT >100%MIC, especially in patients with an increased renal clearance and high levels of beta-lactamases expression.

Indexed as

bacterial infectioncritical carepharmacokineticssepsis

Identifiers

PMID32063809
PMCPMC6990616
OpenAlexW3004225263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.