Evidence map›Paper›PMID 33469164›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Continuous infusion of vancomycin improved therapeutic levels in term and preterm infants.

Antonia Round, Emily Clifton, Lucy Stachow, Sumit Mittal, Kamini Yadav, Hira Ashraf, Ranveer Singh Sanghera, Khuen Foong Ng

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. State of Vancomycin Dosing in Neonates: An Overview.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    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

8 authors at 3 institutions in 1 country.

Antonia RoundLeicester Medical School, George Davies Centre, Leicester, UK. antoniacharlotteround@gmail.com.ORCID http://orcid.org/0000-0003-0204-9329
Emily CliftonLeicester Medical School, George Davies Centre, Leicester, UK.
Lucy StachowPharmacy Department, Leicester Royal Infirmary, Leicester, UK.
Sumit MittalNeonatal Intensive Care Unit, Leicester Royal Infirmary, Leicester, UK.
Kamini YadavNeonatal Intensive Care Unit, Leicester Royal Infirmary, Leicester, UK.
Hira AshrafPaediatric Department, Leicester Royal Infirmary, Leicester, UK.
Ranveer Singh SangheraNeonatal Intensive Care Unit, Leicester Royal Infirmary, Leicester, UK.
Khuen Foong NgPaediatric Infectious Diseases and Immunology Department, Bristol Royal Hospital for Children, Bristol, UK.ORCID http://orcid.org/0000-0002-8767-3974
Leicester Royal Infirmary · GBUniversity of Leicester · GBBristol Royal Hospital for Children · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrowing evidence suggests that continuous infusion of vancomycin (CIV) is superior to intermittent infusion of vancomycin (IIV) in neonates. This quality improvement (QI) project aimed to transition from IIV to CIV with earlier and improved attainment of therapeutic vancomycin levels.

methodsThe Model for Improvement framework with Plan Do Study Act cycles was used. Prospective data were collected during three phases: IIV, CIV-1 and CIV-2.

interventionsA QI team developed a CIV drug monograph and a multidisciplinary education package.

resultsUsing IIV, 36% (9/25) of first vancomycin levels were within target range. CIV achieved therapeutic levels twice as quickly as IIV (p < 0.05) with improved first vancomycin target levels (IIV 36%, 9/25; CIV-1 55%, 16/29; CIV-2 61%, 14/23) and total therapeutic levels (IIV 44%, 37/84; CIV-1 56%, 55/98; CIV-2 69%, 79/114).

conclusionsThis QI project demonstrated a successful transition from IIV to CIV with reduced time to achieve target vancomycin and an increased proportion of therapeutic levels.

Indexed as

Infant, PrematureVancomycinHumansInfant, NewbornProspective StudiesVancomycin

Identifiers

PMID33469164
OpenAlexW3125792316

What OpenQuestion holds

Textmetadata
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.