Evidence map›Paper›PMID 32812063›Full record

Trial reportEuropean journal of clinical pharmacology2021

Prolonged infusion of linezolid is associated with improved pharmacokinetic/pharmacodynamic (PK/PD) profiles in patients with external ventricular drains.

Wenjun Zhao, Lingti Kong, Chenchen Wu, Xiaofei Wu

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2021. 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
0.6field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Linezolid brain penetration in neurointensive care patients.The Journal of antimicrobial chemotherapy · 2024
    Article
  5. Review
  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

4 authors at 3 institutions in 1 country.

Wenjun Zhao *Department of Critical Care Medicine, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, 230000, China.ORCID http://orcid.org/0000-0003-0185-0181
Lingti Kong *Departmen of Pharmacy, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, China.
Chenchen WuDepartment of Endocrinology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, China.
Xiaofei WuDepartment of Emergency Internal Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, China. 13805529866@163.com.
First Affiliated Hospital of Bengbu Medical College · CNAnhui Medical University · CNBengbu Medical College · CN

Funding

Key Special Project of Translational Medicine Research of Bengbu Medical College BYTM2019015Program of Study Abroad for the Excellent Youth Key Scholars of Education Department of Anhui Province of China gxgwfx201903the Research Innovation Program for College Graduates of Bengbu Medical College Byycxz1833
6 · The paper itself

Abstract

objectiveWe previously investigated the pharmacokinetic and pharmacodynamic (PK/PD) parameters of routine linezolid infusions (1 h) in patients with external ventricular drains (EVD). The aim of the study was to determine whether extended linezolid infusions (200 mg/h for 3 h) were more efficacious than short linezolid infusions (600 mg/h for 1 h).

methodsWe collected cerebrospinal fluid (CSF) and plasma samples from 10 patients who received linezolid infusions after cerebral hemorrhage surgery with EVDs. Linezolid concentrations were measured by high-performance liquid chromatography (HPLC). A Monte Carlo simulation was used to measure the probability of target attainments (PTA) and the PK/PD indexes at four minimum inhibitory concentrations (MIC).

resultsWhen the same dose (600 mg) was given as an extended infusion (3 h), linezolid reached its maximum concentrations in the plasma and CSF at 3.00 h and 4.40 h, respectively. The mean penetration of linezolid in CSF was 41.31%. Using the parameter of AUC

conclusionsProlonged infusion times increased the concentration of linezolid in the plasma, leading to improved therapeutic outcomes. However, this improvement did not exist in CSF. Lastly, the PK/PD indicator AUC/MIC ≥ 100 may be used to achieve improved outcomes in patients with critical infections.

Indexed as

VentriculostomyAgedAnti-Bacterial AgentsCerebral HemorrhageDrainageFemaleHumansInfusions, IntravenousLinezolidMaleMiddle AgedAnti-Bacterial AgentsLinezolidCerebrospinal fluidExternal ventricular drainsLinezolidMonte Carlo simulationPharmacodynamicsPharmacokineticsProlonged infusion

Identifiers

PMID32812063
OpenAlexW3056450235

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.