Evidence map›Paper›PMID 37508267›Full record

ArticleAntibiotics (Basel, Switzerland)2023

Management of Polypharmacy and Potential Drug-Drug Interactions in Patients with Mycobacterial Infection: A 1-Year Experience of a Multidisciplinary Outpatient Clinic.

Dario Cattaneo, Alessandro Torre, Marco Schiuma, Aurora Civati, Samuel Lazzarin, Giuliano Rizzardini, Andrea Gori, Spinello Antinori, Cristina Gervasoni

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 1 institution in 1 country.

Dario CattaneoDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.ORCID 0000-0003-1512-6530
Alessandro TorreDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.
Marco SchiumaDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.
Aurora CivatiDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.
Samuel LazzarinDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.
Giuliano RizzardiniDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.
Andrea GoriDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.ORCID 0000-0001-6587-4794
Spinello AntinoriDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.ORCID 0000-0003-0569-9407
Cristina GervasoniDepartment of Infectious Diseases, ASST Fatebenefratelli-Sacco University Hospital, 20157 Milan, Italy.
ASST Fatebenefratelli Sacco · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2022, we opened an outpatient clinic for the management of polypharmacy and potential drug-drug interactions (pDDIs) in patients with mycobacterial infection (called GAP-MyTB). All patients who underwent a GAP-MyTB visit from March 2022 to March 2023 were included in this retrospective analysis. Fifty-two patients were included in the GAP-MyTB database. They were given 10.4 ± 3.7 drugs (2.8 ± 1.0 and 7.8 ± 3.9 were, respectively, antimycobacterial agents and co-medications). Overall, 262 pDDIs were identified and classified as red-flag (2%), orange-flag (72%), or yellow-flag (26%) types. The most frequent actions suggested after the GAP-MyTB assessment were to perform ECG (52%), therapeutic drug monitoring (TDM, 40%), and electrolyte monitoring (33%) among the diagnostic interventions and to reduce/stop proton pump inhibitors (37%), reduce/change statins (14%), and reduce anticholinergic burden (8%) among the pharmacologic interventions. The TDM of rifampicin revealed suboptimal exposure in 39% of patients that resulted in a TDM-guided dose increment (from 645 ± 101 to 793 ± 189 mg/day,

Indexed as

drug–drug interactionsmycobacterial infectionsoutpatient clinicpolypharmacy

Identifiers

PMID37508267
PMCPMC10375959
OpenAlexW4383908713

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.