Evidence map›Paper›PMID 33314163›Full record

ArticleJournal of clinical pharmacology2021

Optimal Dosing of Meropenem in a Small Cohort of Critically Ill Children Receiving Continuous Renal Replacement Therapy.

Wei Wei Tan, Kevin M Watt, Felix Boakye-Agyeman, Michael Cohen-Wolkowiez, Yee Hui Mok, Chee Fu Yung, Yoke Hwee Chan

Open access · greenAbstract read
In one paragraph

Article in 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Challenging T > MIC Using Meropenem vs.Frontiers in pharmacology · 2022
    Article
  8. Article
  9. Review
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 3 institutions in 2 countries.

Wei Wei TanDepartment of Pharmacy, KK Women's and Children's Hospital, Singapore, Singapore.
Kevin M WattPharmacometrics Center, Duke Clinical Research Institute (DCRI), Durham, North Carolina, USA.
Felix Boakye-AgyemanIntegrated Drug Development, Certara Strategic Consulting, Certara USA, Inc. 100 Overlook Center, Princeton, New Jersey, USA.
Michael Cohen-WolkowiezPharmacometrics Center, Duke Clinical Research Institute (DCRI), Durham, North Carolina, USA.
Yee Hui MokDepartment of Paediatric Subspecialties, Children's Intensive Care Unit, KK Women's and Children's Hospital, Singapore, Singapore.
Chee Fu YungDepartment of Paediatric Medicine, Infectious Disease Service, KK Women's and Children's Hospital, Singapore, Singapore.
Yoke Hwee ChanDepartment of Paediatric Subspecialties, Children's Intensive Care Unit, KK Women's and Children's Hospital, Singapore, Singapore.ORCID 0000-0002-7612-6414
KK Women's and Children's Hospital · SGClinical Research Institute · USCertara (United States) · US

Funding

Pediatric Critical Care Scientist Development ProgramK12HD047349 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI HEATHER T. KEENAN, Kevin M Watt · 2004 to 2026
$17.0M
Physiologically-Based Pharmacokinetic Approach to Determine Dosing on Extracorporeal Life SupportR01HD097775 · NICHD · UNIVERSITY OF UTAH · PI WATT, KEVIN M · 2019 to 2023
$2.7M
Physiologically-Based Pharmacokinetic Models for Optimal Drug Dosing in ChildrenR01HD076676 · NICHD · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL · 2014 to 2017
$2.6M
Mentoring in Clinical Pharmacology and Early Phase TrialsK24AI143971 · NIAID · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL · 2019 to 2023
$895k
Physiologically Based Pharmacokinetics in Critically Ill ChildrenK23HD075891 · NICHD · DUKE UNIVERSITY · PI WATT, KEVIN M · 2014 to 2018
$638k
FDA HHS U18 FD006298NIAAA NIH HHS HHSN275201000003CNIAID NIH HHS HHSN272201300017CNIAID NIH HHS HHSN272201300017INIAID NIH HHS HHSN272201500006CNIAID NIH HHS K24 AI143971NICHD NIH HHS HHSN275201000003INICHD NIH HHS K12 HD047349NICHD NIH HHS K23 HD075891NICHD NIH HHS R01 HD076676NICHD NIH HHS R01 HD097775
6 · The paper itself

Abstract

Severe sepsis is an important cause of mortality and morbidity in critically ill children. Meropenem is a broad-spectrum antibiotic commonly used to treat sepsis. Current meropenem dosage recommendations for children on continuous renal replacement therapy are extrapolated from pharmacokinetic (PK) studies done in adults. Our study aims to determine the optimal dosing in critically ill septic children receiving continuous renal replacement therapy. A prospective single-center PK study was performed in 9 children in the intensive care unit on continuous renal replacement therapy. Meropenem concentrations were measured from blood and effluent fluid samples. A population PK model was developed using nonlinear mixed-effects modeling software (NONMEM, AstraZeneca UK Ltd, Cheshire, UK). Monte Carlo simulations were performed. The PK/pharmacodynamic target aimed for plasma concentrations above minimum inhibitory concentration of 4 mg/L for 100% of dosing interval (100%ƒ

Indexed as

Continuous Renal Replacement TherapyAdolescentAnti-Bacterial AgentsChildChild, PreschoolCritical IllnessDose-Response Relationship, DrugFemaleHalf-LifeHumansInfantIntensive Care UnitsMaleMeropenemMetabolic Clearance RateMicrobial Sensitivity TestsAnti-Bacterial AgentsMeropenemcritical caremeropenempediatricspharmacokineticsrenal replacement therapy

Identifiers

PMID33314163
PMCPMC8089047
OpenAlexW3110885716

What OpenQuestion holds

Textmetadata
LicenceTDM
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.