Evidence map›Paper›PMID 37548827›Full record

SynthesisJournal of nephrology2023

Culture-directed antibiotics in peritoneal dialysis solutions: a systematic review focused on stability and compatibility.

Chau Wei Ling, Kamal Sud, Rahul Patel, Gregory Peterson, Troy Wanandy, Siang Fei Yeoh, Connie Van, Ronald Castelino

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Stability of Daptomycin in Dextrose and Icodextrin-Based Peritoneal Dialysis Solutions.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  3. Oral clindamycin for peritonitis due toJAC-antimicrobial resistance · 2024
    Article
  4. Analysis of risk factor for peritonitis in peritoneal dialysis patients.American journal of translational research · 2024
    Article
  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 3 institutions in 2 countries.

Chau Wei LingFaculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2006, Australia. clin6270@uni.sydney.edu.au.ORCID http://orcid.org/0000-0002-6445-4314
Kamal SudFaculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2006, Australia.
Rahul PatelSchool of Pharmacy and Pharmacology, University of Tasmania, Hobart, TAS, Australia.
Gregory PetersonSchool of Pharmacy and Pharmacology, University of Tasmania, Hobart, TAS, Australia.
Troy WanandySchool of Pharmacy and Pharmacology, University of Tasmania, Hobart, TAS, Australia.
Siang Fei YeohDepartment of Pharmacy, National University Hospital, Singapore, Singapore.
Connie VanFaculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2006, Australia.
Ronald CastelinoFaculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2006, Australia.
The University of Sydney · AUUniversity of Tasmania · AUNational University Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review summarises the stability of less commonly prescribed antibiotics in different peritoneal dialysis solutions that could be used for culture-directed therapy of peritonitis, which would be especially useful in regions with a high prevalence of multidrug antibiotic-resistant strains.

methodsA literature search of Medline, Scopus, Embase and Google Scholar for articles published from inception to 25 January, 2023 was conducted. Only antibiotic stability studies conducted in vitro and not recently reviewed by So et al. were included. The main outcomes were chemical, physical, antimicrobial and microbial stability. This protocol was registered in PROSPERO (registration number CRD42023393366).

resultsWe screened 1254 abstracts, and 28 articles were included in the study. In addition to those discussed in a recent systematic review (So et al., Clin Kidney J 15(6):1071-1078, 2022), we identified 18 antimicrobial agents. Of these, 9 have intraperitoneal dosing recommendations in the recent International Society for Peritoneal Dialysis (ISPD) peritonitis guidelines, and 7 of the 9 had stability data applicable to clinical practice. They were cefotaxime, ceftriaxone, daptomycin, ofloxacin, and teicoplanin in glucose-based solutions, tobramycin in Extraneal solution only and fosfomycin in Extraneal, Nutrineal, Physioneal 1.36% and 2.27% glucose solutions.

conclusionsPhysicochemical stability has not been demonstrated for all antibiotics with intraperitoneal dosing recommendations in the ISPD peritonitis guidelines. Further studies are required to determine the stability of antibiotics, especially in icodextrin-based and low-glucose degradation products, pH-neutral solutions.

Indexed as

Anti-Bacterial AgentsPeritoneal DialysisPeritonitisDialysis SolutionsGlucoseHumansIcodextrinAnti-Bacterial AgentsDialysis SolutionsGlucoseIcodextrinCulture-directed antibioticsPeritoneal dialysis solutionsPeritonitisStability

Identifiers

PMID37548827
PMCPMC10543841
OpenAlexW4385620342

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.