Evidence map›Paper›PMID 33258328›Full record

ArticleJournal of Korean medical science2020

Therapeutic Drug Level Monitoring of Teicoplanin in Korean Pediatric Patients with Normal versus Impaired Renal Function.

Joon Sik Choi, Jong Min Kim, Dongsub Kim, Si Ho Kim, Heeyeon Cho, Hyung Doo Park, Soo Youn Lee, Cheol In Kang, Yae Jean Kim

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.1field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

9 authors at 5 institutions in 1 country.

Joon Sik Choi *Department of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0002-5587-2960
Jong Min Kim *Department of Pediatrics, Myongji Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0002-5594-4864
Dongsub KimDepartment of Pediatrics, Kyungpook National University Hospital, Daegu, Korea.ORCID https://orcid.org/0000-0002-9836-6769
Si Ho KimDepartment of Infectious Diseases, Samsung Changwon Hospital, Changwon, Korea.ORCID https://orcid.org/0000-0001-7763-8940
Heeyeon ChoDepartment of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0003-3137-6054
Hyung Doo ParkDepartment of Laboratory Medicine and Genetics, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0003-1798-773X
Soo Youn LeeDepartment of Laboratory Medicine and Genetics, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0001-7595-4042
Cheol In KangDepartment of Infectious Diseases, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0002-1741-4459
Yae Jean KimDepartment of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. yaejeankim@skku.edu.ORCID https://orcid.org/0000-0002-8367-3424
Samsung Medical Center · KRChangwon National University · KRKyungpook National University Hospital · KRMyongji Hospital · KRSeverance Hospital · KR

Funding

Ministry of Trade, Industry and Energy 10080648
6 · The paper itself

Abstract

backgroundTeicoplanin is used to treat serious gram-positive infections. Optimal teicoplanin trough levels are considered to be ≥ 10 μg/mL. Despite its wide use in various clinical settings, data on teicoplanin trough level in pediatric patients are limited. Therefore, the aim of this study was to investigate the therapeutic drug level monitoring of teicoplanin in Korean pediatric patients, including those with impaired renal function.

methodsA retrospective study was performed in pediatric patients (age ≤ 18 years old) who received teicoplanin from September 2014 to April 2018. The regimen included a loading dose of 10 mg/kg/dose at 12 hours' interval three times in a row, and a maintenance dose of 10 mg/kg/dose commenced at 24 hours of interval after the loading dose, with a maximum of 400 mg/dose, respectively. The first therapeutic drug levels were measured. Distribution and characteristics of trough levels in patients with decreased renal function and those with bacteremia were also assessed.

resultsA total of 187 trough levels were collected from 143 patients. Hematologic and oncologic diseases were the most common underlying diseases (83.2%, n = 119). One hundred eighty trough levels were first measured, and their median value was 16.2 μg/mL (range, 2.3-100 μg/mL) and the median interval between initial teicoplanin injection and 1st trough level was 96.5 hours (range 47.6-179.3 hours). Lower steady-state levels were observed in younger age group (median, 13.5 vs. 18.0 μg/mL,

conclusionThis study provides additive information on trough level monitoring of teicoplanin in children with impaired renal function and treatment effect in patients with gram-positive bacteremia. Careful monitoring for steady state trough levels of teicoplanin is warranted.

Indexed as

Administration, IntravenousAdolescentAnti-Bacterial AgentsChildChild, PreschoolChromatography, High Pressure LiquidDrug Administration ScheduleFemaleGlomerular Filtration RateGram-Positive Bacterial InfectionsHematologic DiseasesHumansInfantInfant, NewbornKidneyMaleAnti-Bacterial AgentsTeicoplaninBacteremiaChildrenImpaired Renal FunctionTeicoplaninTherapeutic Drug Level Monitoring

Identifiers

PMID33258328
PMCPMC7707924
OpenAlexW3095827112

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.