Evidence map›Paper›PMID 32816723›Full record

Observational studyAntimicrobial agents and chemotherapy2020

Suboptimal Dosing of Fluconazole in Critically Ill Patients: Time To Rethink Dosing.

Eline W Muilwijk, Dylan W de Lange, Jeroen A Schouten, Roeland E Wasmann, Rob Ter Heine, David M Burger, Angela Colbers, Pieter J Haas, Paul E Verweij, Peter Pickkers and 1 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02666716 (Pharmacokinetics of Fluconazole Given Intravenously as Prophylaxis or Therapy to Patients With an Invasive Fungal Infection in the Intensive Care Unit), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 19% 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.

NCT02666716 completednot on this map

Pharmacokinetics of Fluconazole Given Intravenously as Prophylaxis or Therapy to Patients With an Invasive Fungal Infection in the Intensive Care Unit (PACIFIC)

TypeobservationalSponsorRadboud University Medical CenterRan2015 to 2016Enrolled20ConditionsCandidiasisArmsfluconazole
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Brazilian guidelines for the diagnosis and treatment of candidemia and invasive candidiasis in adults and children.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Current fluconazole treatment regimens result in under-dosing of critically ill adults during early therapy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Eline W MuilwijkRadboud University Medical Center, Radboud Institute for Health Sciences, Department of Pharmacy, Nijmegen, The Netherlands.
Dylan W de LangeDepartment of Intensive Care and National Poison Information Center, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Jeroen A SchoutenDepartment of Intensive Care, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Roeland E WasmannRadboud University Medical Center, Radboud Institute for Health Sciences, Department of Pharmacy, Nijmegen, The Netherlands.ORCID 0000-0002-5769-8150
Rob Ter HeineRadboud University Medical Center, Radboud Institute for Health Sciences, Department of Pharmacy, Nijmegen, The Netherlands.
David M BurgerRadboud University Medical Center, Radboud Institute for Health Sciences, Department of Pharmacy, Nijmegen, The Netherlands.
Angela ColbersRadboud University Medical Center, Radboud Institute for Health Sciences, Department of Pharmacy, Nijmegen, The Netherlands.
Pieter J HaasDepartment of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Paul E VerweijCenter of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.
Peter PickkersCenter of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.
Roger J BrüggemannRadboud University Medical Center, Radboud Institute for Health Sciences, Department of Pharmacy, Nijmegen, The Netherlands roger.bruggemann@radboudumc.nl.ORCID 0000-0002-7618-725X
Radboud University Nijmegen · NLCanisius-Wilhelmina Ziekenhuis · NLUniversity Medical Center Utrecht · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluconazole is frequently used for the treatment of invasive

Indexed as

CandidiasisContinuous Renal Replacement TherapyAdultAgedAged, 80 and overAnti-Bacterial AgentsCritical IllnessFluconazoleHumansMiddle AgedYoung AdultAnti-Bacterial AgentsFluconazoleazolesfungal diseaseintensive care unitpharmacometricsrenal clearancerenal replacement therapy

Identifiers

PMID32816723
PMCPMC7508595
OpenAlexW3048569756

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.