Evidence map›Paper›PMID 34426481›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2021

Initial dosing of intermittent vancomycin in adults: estimation of dosing interval in relation to dose and renal function.

Martin Šíma, Jan Hartinger, Tomáš Grus, Ondřej Slanař

Open access · greenAbstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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  6. Rational application of vancomycin in patients with various pathological conditions.European journal of hospital pharmacy : science and practice · 2020
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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

4 authors at 1 institution in 1 country.

Martin ŠímaDepartment of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic martin.sima@lf1.cuni.cz.ORCID 0000-0002-6541-738X
Jan HartingerDepartment of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Tomáš Grus2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Ondřej SlanařDepartment of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Charles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDue to the high interindividual variability in vancomycin pharmacokinetics, optimisation of its dosing is still challenging. This study aimed to explore vancomycin pharmacokinetics in adult patients and to propose an easy applicable dosing nomogram for initial treatment.

methodsVancomycin pharmacokinetics was calculated in a two-compartmental model based on therapeutic drug monitoring data. A linear regression model was used to explore the relationship between vancomycin elimination half-life and glomerular filtration rate estimated according the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula.

resultsIn the whole study population (n=66), vancomycin volume of distribution, clearance and half-life median (IQR) values were 0.69 (0.58-0.87) L/kg, 0.031 (0.022-0.050) L/h/kg and 14.4 (9.5-25.2) hours, respectively. Vancomycin half-life was associated with glomerular filtration rate (r

conclusionsWe propose an easy-to-use dosing nomogram for vancomycin therapy initiation that allows individualisation of the dosing interval with respect to the administered dose size and functional renal status.

Indexed as

Anti-Bacterial AgentsVancomycinAdultDrug MonitoringGlomerular Filtration RateHumansKidneyAnti-Bacterial AgentsVancomycinCKD-EPIdosing nomogramglomerular filtrationpharmacokineticstherapeutic drug monitoringvancomycin

Identifiers

PMID34426481
PMCPMC8403779
OpenAlexW2965110336

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.