Evidence map›Paper›PMID 35335866›Full record

ReviewPharmaceutics2022

Clinical Practice Guidelines for Therapeutic Drug Monitoring of Vancomycin in the Framework of Model-Informed Precision Dosing: A Consensus Review by the Japanese Society of Chemotherapy and the Japanese Society of Therapeutic Drug Monitoring.

Kazuaki Matsumoto, Kazutaka Oda, Kensuke Shoji, Yuki Hanai, Yoshiko Takahashi, Satoshi Fujii, Yukihiro Hamada, Toshimi Kimura, Toshihiko Mayumi, Takashi Ueda and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

74 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Comparison of Vancomycin Trough Concentrations in Pediatric Patients with and without Sickle Cell Disease: A Cohort Study in Saudi Children.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  8. Optimal vancomycin AUCEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  9. Pharmacist-driven antimicrobial stewardship: evolving roles in clinical practice.Journal of pharmaceutical health care and sciences · 2026
    Review
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  12. Review
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14 more citing papers are in PubMed but not listed here.

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

12 authors at 8 institutions in 1 country.

Kazuaki MatsumotoDivision of Pharmacodynamics, Faculty of Pharmacy, Keio University, Tokyo 105-8512, Japan.ORCID 0000-0002-5462-1684
Kazutaka OdaDepartment of Pharmacy, Kumamoto University Hospital, Kumamoto 860-8556, Japan.
Kensuke ShojiDivision of Infectious Diseases, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo 157-8535, Japan.
Yuki HanaiDepartment of Pharmacy, Toho University Omori Medical Center, Tokyo 143-8541, Japan.ORCID 0000-0002-4606-7150
Yoshiko TakahashiDepartment of Pharmacy, Hyogo College of Medicine, Nishinomiya 663-8501, Japan.
Satoshi FujiiDepartment of Hospital Pharmacy, Sapporo Medical University Hospital, Sapporo 060-8543, Japan.ORCID 0000-0002-0353-7933
Yukihiro HamadaDepartment of Pharmacy, Tokyo Women's Medical University Hospital, Tokyo 162-0054, Japan.ORCID 0000-0002-5659-6507
Toshimi KimuraDepartment of Pharmacy, Tokyo Women's Medical University Hospital, Tokyo 162-0054, Japan.ORCID 0000-0001-6990-425X
Toshihiko MayumiDepartment of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Fukuoka 807-8555, Japan.
Takashi UedaDepartment of Infection Prevention and Control, Hyogo College of Medicine, Nishinomiya 663-8501, Japan.ORCID 0000-0002-5176-9050
Kazuhiko NakajimaDepartment of Infection Prevention and Control, Hyogo College of Medicine, Nishinomiya 663-8501, Japan.
Yoshio TakesueDepartment of Infection Prevention and Control, Hyogo College of Medicine, Nishinomiya 663-8501, Japan.
Hyogo Medical University · JPTokyo Women's Medical University Hospital · JPKeio University · JPKumamoto University Hospital · JPNational Center For Child Health and Development · JPSapporo Medical University Hospital · JPToho University · JPUniversity of Occupational and Environmental Health Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo promote model-informed precision dosing (MIPD) for vancomycin (VCM), we developed statements for therapeutic drug monitoring (TDM).

methodsTen clinical questions were selected. The committee conducted a systematic review and meta-analysis as well as clinical studies to establish recommendations for area under the concentration-time curve (AUC)-guided dosing.

resultsAUC-guided dosing tended to more strongly decrease the risk of acute kidney injury (AKI) than trough-guided dosing, and a lower risk of treatment failure was demonstrated for higher AUC/minimum inhibitory concentration (MIC) ratios (cut-off of 400). Higher AUCs (cut-off of 600 μg·h/mL) significantly increased the risk of AKI. Although Bayesian estimation with two-point measurement was recommended, the trough concentration alone may be used in patients with mild infections in whom VCM was administered with q12h. To increase the concentration on days 1-2, the routine use of a loading dose is required. TDM on day 2 before steady state is reached should be considered to optimize the dose in patients with serious infections and a high risk of AKI.

conclusionsThese VCM TDM guidelines provide recommendations based on MIPD to increase treatment response while preventing adverse effects.

Indexed as

area under the concentration-time curveguidelinemodel-informed precision dosingtherapeutic drug monitoringvancomycin

Identifiers

PMID35335866
PMCPMC8955715
OpenAlexW4213414504

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.