Evidence map›Paper›PMID 35022752›Full record

GuidelineThe Journal of antimicrobial chemotherapy2022

Clinical practice guidelines for therapeutic drug monitoring of teicoplanin: a consensus review by the Japanese Society of Chemotherapy and the Japanese Society of Therapeutic Drug Monitoring.

Yuki Hanai, Yoshiko Takahashi, Takashi Niwa, Toshihiko Mayumi, Yukihiro Hamada, Toshimi Kimura, Kazuaki Matsumoto, Satoshi Fujii, Yoshio Takesue

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in The Journal of antimicrobial chemotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
2.1field-weighted citation impact, top 10% 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

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  3. Updated antimicrobial dosing recommendations for obese patients.Antimicrobial agents and chemotherapy · 2024
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  4. Pooled it
  5. Clinical outcomes of teicoplanin for Corynebacterium species bacteremia: A retrospective observational study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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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

9 authors at 7 institutions in 1 country.

Yuki HanaiDepartment of Pharmacy, Toho University Omori Medical Center, Tokyo, Japan.ORCID 0000-0002-4606-7150
Yoshiko TakahashiDepartment of Pharmacy, Hyogo College of Medicine, Nishinomiya, Japan.
Takashi NiwaDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Toshihiko MayumiDepartment of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Yukihiro HamadaDepartment of Pharmacy, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Toshimi KimuraDepartment of Pharmacy, Tokyo Women's Medical University Hospital, Tokyo, Japan.ORCID 0000-0001-6990-425X
Kazuaki MatsumotoDivision of Pharmacodynamics, Keio University Faculty of Pharmacy, Tokyo, Japan.
Satoshi FujiiDepartment of Hospital Pharmacy, Sapporo Medical University Hospital, Hokkaido, Japan.
Yoshio TakesueDepartment of Infection Control and Prevention, Hyogo College of Medicine, Nishinomiya, Japan.
Hyogo Medical University · JPTokyo Women's Medical University Hospital · JPGifu University Hospital · JPKeio University · JPSapporo Medical University Hospital · JPToho University · JPUniversity of Occupational and Environmental Health Japan · JP

Funding

AMED JP18fk0108045
6 · The paper itself

Abstract

backgroundOwing to its low risk of adverse effects, teicoplanin has been extensively used in patients with infections caused by MRSA. To promote the better management of patients receiving teicoplanin, we have updated the guidelines for therapeutic drug monitoring (TDM).

methodsThe guidelines were developed by a committee following the methodology handbook published by the Japanese Medical Information Distribution Service. Nine clinical questions were selected. The committee conducted a systematic review and meta-analysis to establish evidence-based recommendations for the target trough concentration (Cmin). An initial electronic database search returned 515 articles, and 97 articles qualified for a full review. Four and five studies were included for the efficacy evaluation of cut-off Cmin values of 15 and 20 mg/L, respectively.

resultsCompared with Cmin < 15 mg/L, a target Cmin value of 15-30 mg/L resulted in increased clinical efficacy in patients with non-complicated MRSA infections (OR = 2.68; 95% CI = 1.14-6.32) without an increase in adverse effects. Although there was insufficient evidence, target Cmin values of 20-40 mg/L were suggested in patients with complicated or serious MRSA infections. A 3 day loading regimen followed by maintenance treatment according to renal function was recommended to achieve the target trough concentrations. Because of the prolonged half-life of teicoplanin, measurement of the Cmin value on Day 4 before reaching steady state was recommended.

conclusionsThe new guideline recommendations indicate the target Cmin value for TDM and the dosage regimen to achieve this concentration and suggest practices for specific subpopulations.

Indexed as

Drug MonitoringTeicoplaninAnti-Bacterial AgentsConsensusHumansJapanAnti-Bacterial AgentsTeicoplanin

Identifiers

PMID35022752
PMCPMC8969460
OpenAlexW4206515202

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.