Evidence map›Paper›PMID 34764144›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2022

Relationship between amikacin pharmacokinetics and biological parameters associated with organ dysfunction: a case series study of critically ill patients with intra-abdominal sepsis.

Bita Shahrami, Aida Sefidani Forough, Seyedeh Sana Khezrnia, Farhad Najmeddin, Amir Ahmad Arabzadeh, Mohammad Reza Rouini, Atabak Najafi, Mojtaba Mojtahedzadeh

Open access · greenAbstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. 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 4 institutions in 2 countries.

Bita ShahramiDepartment of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran.
Aida Sefidani ForoughSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Seyedeh Sana KhezrniaDepartment of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran.
Farhad NajmeddinDepartment of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran.
Amir Ahmad ArabzadehDepartment of Surgery, Ardabil University of Medical Sciences, Ardabil, The Islamic Republic of Iran.ORCID 0000-0001-9594-5522
Mohammad Reza RouiniDepartment of Pharmaceutics, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran.
Atabak NajafiDepartment of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran.
Mojtaba MojtahedzadehDepartment of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran mojtahed@sina.tums.ac.ir.ORCID 0000-0003-2160-9301
Tehran University of Medical Sciences · IRArdabil University of Medical Sciences · IRQueensland University of Technology · AUSina Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the relationship between amikacin pharmacokinetics and the biomarkers associated with organ dysfunction in critically ill patients with intra-abdominal sepsis.

methodsA case series involving critically ill patients with intra-abdominal sepsis who received an amikacin loading dose of 20-25 mg/kg intravenous infusion was studied. The 1-, 2-, 4-, 6- and 24-hour amikacin serum concentrations were measured to calculate the pharmacokinetic parameters. The Sequential Organ Failure Assessment (SOFA) score, white blood cells, neutrophil to lymphocyte ratio, platelet count, serum creatinine, creatinine clearance, bilirubin, partial pressure of oxygen to fraction of inspired oxygen ratio, serum albumin, procalcitonin, lactate level, erythrocyte sedimentation rate (ESR) and C-reactive protein were recorded. A linear regression analysis was performed to examine the relationship between the amikacin pharmacokinetics and the biological parameters.

resultsTwenty-one patients were studied. A significant correlation was found between the volume of distribution and ESR (p<0.05, r=0.844). Moreover, drug clearance had a significant inverse correlation with serum lactate (p<0.05, r=-0.603). No other significant correlations were found.

conclusionsESR and serum lactate were identified as useful predictors of amikacin pharmacokinetics in critically ill patients with intra-abdominal sepsis and may help guide the selection of appropriate empirical dosing.

Indexed as

AmikacinSepsisAnti-Bacterial AgentsCritical IllnessHumansMultiple Organ FailureAmikacinAnti-Bacterial Agentscritical caredrug monitoringemergency medicinepharmacokineticspharmacology

Identifiers

PMID34764144
PMCPMC8899638
OpenAlexW3213019972

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.