Evidence map›Paper›PMID 33263245›Full record

ArticleInfection & chemotherapy2020

Vancomycin Area under the Curve and Pharmacokinetic Parameters during the First 24 Hours of Treatment in Critically Ill Patients using Bayesian Forecasting.

Manat Pongchaidecha, Dhitiwat Changpradub, Kanjana Bannalung, Kajeewan Seejuntra, Sutthanuch Thongmee, Aminta Unnual, Wichai Santimaleeworagun

Open access · goldAbstract read
In one paragraph

Article in Infection & chemotherapy, 2020. 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
0.2field-weighted citation impact, top 36% 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, 13 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Manat PongchaidechaDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0003-3865-3181
Dhitiwat ChangpradubDivision of Infectious Diseases, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-7939-6834
Kanjana BannalungDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0001-5352-6477
Kajeewan SeejuntraDepartment of Pharmacy, Ramathibodi Chakri Naruebodindra Hospital, Samutprakarn, Thailand.ORCID https://orcid.org/0000-0002-7687-2222
Sutthanuch ThongmeeDepartment of Pharmacy, Chiraprawat Hospital, Nakornsawan, Thailand.ORCID https://orcid.org/0000-0002-5857-9751
Aminta UnnualDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0003-4472-5559
Wichai SantimaleeworagunDepartment of Pharmacy, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand.ORCID https://orcid.org/0000-0001-9974-957X
Silpakorn University · THNakornping Hospital · THPhramongkutklao Hospital · THRamathibodi Hospital · TH

Funding

Silpakorn University
6 · The paper itself

Abstract

backgroundCurrently, the achievement of the target area under the curve (AUC)/minimum inhibitory concentration ratio during the first 24 - 48 h of treatment is associated with reduced 30-day mortality and greater microbiological eradication in patients with methicillin-resistant MATERIALS AND

methodsThis retrospective study included participants meeting the following criteria: 1) ≥18 years old; 2) receipt of at least one dose of vancomycin; 3) measurement of 2 vancomycin serum concentrations during the first 24 h of treatment; and 4) an intensive care unit admission, mechanical ventilator use, or an Acute Physiology and Chronic Health Evaluation II score >15 points. The AUC on day 1 of treatment and the estimated vancomycin pharmacokinetic parameters were measured using PrecisePK software based on the Bayesian theorem.

resultsWe obtained 132 vancomycin concentrations from 66 patients. The vancomycin pharmacokinetic parameters were as follows: AUC

conclusionThis study revealed that the higher Vd and CL values on the first day of vancomycin therapy were found in critically ill patients. Additionally, a higher vancomycin loading dose (25 - 30 mg/kg) might be required to achieve target of AUC

Indexed as

AUCClearancePharmacokineticTrough levelVolume of distribution

Identifiers

PMID33263245
PMCPMC7779987
OpenAlexW3108397712

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.