Evidence map›Paper›PMID 35625346›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Clinical Efficacy and Safety of Vancomycin Continuous Infusion in Patients Treated at Home in an Outpatient Parenteral Antimicrobial Therapy Program.

Lore Thijs, Charlotte Quintens, Lotte Vander Elst, Paul De Munter, Melissa Depypere, Willem-Jan Metsemakers, Georges Vles, Astrid Liesenborghs, Jens Neefs, Willy E Peetermans and 1 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. 'The Year of Living Dangerously': SuccessfulEuropean journal of case reports in internal medicine · 2024
    Article
  10. Article
  11. A Bundle of the Top 10 OPAT Publications in 2022.Open forum infectious diseases · 2023
    Review
  12. Article
  13. Review
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

11 authors at 1 institution in 1 country.

Lore ThijsPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium.
Charlotte QuintensPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-6072-2596
Lotte Vander ElstPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium.
Paul De MunterDepartment of Microbiology, Immunology and Transplantation, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-5944-3530
Melissa DepypereClinical Department of Laboratory Medicine, University Hospitals Leuven, 3000 Leuven, Belgium.
Willem-Jan MetsemakersDepartment of Trauma Surgery, University Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-4114-9093
Georges VlesDepartment of Orthopaedics, University Hospitals Leuven, 3000 Leuven, Belgium.
Astrid LiesenborghsPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium.
Jens NeefsPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium.
Willy E PeetermansDepartment of Microbiology, Immunology and Transplantation, KU Leuven, 3000 Leuven, Belgium.
Isabel SprietPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium.
KU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vancomycin is commonly used in outpatient parenteral antimicrobial therapy (OPAT) of Gram-positive infections. Therapeutic drug monitoring and adverse event monitoring pose a challenge. Outcome data of vancomycin in OPAT (vOPAT) are limited. The study aim was to report the safety and efficacy of a structured vOPAT program implemented in the University Hospitals Leuven. The program provides continuous elastomeric infusion of vancomycin at home with biweekly follow-up at the outpatient clinic. Demographics, clinical, biochemical and treatment parameters, target attainment parameters and clinical outcomes were recorded. An e-survey was conducted to assess patient satisfaction. Thirty-five vOPAT episodes in 32 patients were included. During 206 follow-up consultations, 203 plasma concentration measurements were registered with a median vancomycin plasma concentration of 22.5 mg/L (range 6.6-32.0). The majority of concentrations (68.5%) were within the therapeutic range (20.0-25.0 mg/L). Adverse event rates, including drug- (5.7%) and catheter-related (5.7%) events, were low. For 32 vOPAT episodes, a clinical cure rate of 100% was observed. All patients who completed the e-survey were satisfied with their vOPAT course. These findings show that a structured vOPAT program with rigorous follow-up provides safe and effective ambulatory treatment of patients with vancomycin in continuous infusion.

Indexed as

adverse event monitoringcontinuous infusionelastomeric pumpOPAT at homesatisfaction surveytherapeutic drug monitoringvancomycin

Identifiers

PMID35625346
PMCPMC9137986
OpenAlexW4281395320

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.