Evidence map›Paper›PMID 33094803›Full record

ArticleThe Journal of antimicrobial chemotherapy2021

First international quality control programme for laboratories measuring antimicrobial drugs to support dose individualization in critically ill patients.

E Wallenburg, R J Brüggemann, K Asouit, M Teulen, A F J de Haan, E J F Franssen, R E Aarnoutse

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Article in The Journal of antimicrobial chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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.

E WallenburgDepartment of Pharmacy, Radboud Institute of Health Sciences, Radboud Center for Infectious Diseases, Radboud university medical center, Nijmegen, The Netherlands.
R J BrüggemannDepartment of Pharmacy, Radboud Institute of Health Sciences, Radboud Center for Infectious Diseases, Radboud university medical center, Nijmegen, The Netherlands.
K AsouitDepartment of Pharmacy, Radboud Institute of Health Sciences, Radboud Center for Infectious Diseases, Radboud university medical center, Nijmegen, The Netherlands.
M TeulenDepartment of Pharmacy, Radboud Institute of Health Sciences, Radboud Center for Infectious Diseases, Radboud university medical center, Nijmegen, The Netherlands.
A F J de HaanDepartment for Health Evidence, Biostatistics, Radboud university medical center, Nijmegen, The Netherlands.
E J F FranssenAssociation for Quality Assessment in TDM and Clinical Toxicology (KKGT, http://kkgt.nl/), Dutch Foundation for Quality Assessment in Medical Laboratories (SKML, https://www.skml.nl/), The Hague, The Netherlands.
R E AarnoutseDepartment of Pharmacy, Radboud Institute of Health Sciences, Radboud Center for Infectious Diseases, Radboud university medical center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInternational quality control (proficiency testing) programmes are instituted to safeguard the analytical performance of laboratories and to aid these laboratories in identifying sources of error in their analytical methods. We describe the first international quality control programme for antimicrobial agents that are frequently used in critically ill patients.

methodsSpiked plasma samples with ceftazidime, ciprofloxacin, flucloxacillin, piperacillin, sulfamethoxazole, N-acetyl sulfamethoxazole and trimethoprim were shipped to 22 laboratories from eight different countries. Acceptable accuracy by the performing laboratory was defined if measurements were within 80%-120% limits of the true weighed-in concentrations.

resultsA total of 81% of the measurements (ranging between 56% and 100%, dependent on drug) were within the 80%-120% limits of the true weighed-in concentrations.

conclusionsWe found a relatively good performance of the participating laboratories in measuring eight different antimicrobial drugs. Nevertheless, some of the antimicrobial drugs were not measured properly as up to 44% of the measurements was inaccurate depending on the drug. Our results emphasize the need for and utility of an ongoing quality control programme.

Indexed as

Anti-Infective AgentsPharmaceutical PreparationsCritical IllnessHumansLaboratoriesQuality ControlAnti-Infective AgentsPharmaceutical Preparations

Identifiers

PMID33094803
PMCPMC7816175

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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.