Evidence map›Paper›PMID 38332425›Full record

ReviewEuropean journal of drug metabolism and pharmacokinetics2024

Optimizing Antibiotic Therapy for Intravenous Drug Users: A Narrative Review Unraveling Pharmacokinetics/Pharmacodynamics Challenges.

Marta Colaneri, Camilla Genovese, Pietro Valsecchi, Matteo Calia, Dario Cattaneo, Andrea Gori, Raffaele Bruno, Elena Seminari

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of drug metabolism and pharmacokinetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 5 institutions in 1 country.

Marta Colaneri *Department of Infectious Diseases, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy. marta.colaneri@gmail.com.ORCID http://orcid.org/0000-0002-5939-9576
Camilla Genovese *Department of Infectious Diseases, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy.
Pietro ValsecchiInfectious Diseases I Unit, IRCCS San Matteo, Pavia, Italy.
Matteo CaliaInfectious Diseases I Unit, IRCCS San Matteo, Pavia, Italy.
Dario CattaneoDepartment of Infectious Diseases, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy.
Andrea GoriDepartment of Infectious Diseases, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy.
Raffaele BrunoInfectious Diseases I Unit, IRCCS San Matteo, Pavia, Italy.
Elena SeminariInfectious Diseases I Unit, IRCCS San Matteo, Pavia, Italy.
Policlinico San Matteo Fondazione · ITASST Fatebenefratelli Sacco · ITLuigi Sacco Hospital · ITUniversity of Milan · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous drug users (IVDUs) face heightened susceptibility to life-threatening gram-positive bacterial infections, particularly methicillin-resistant Staphylococcus aureus (MRSA). While the standard antibiotic dosing strategies for special patients, such as obese or critically ill individuals, are known to be inadequate, raising concerns about treatment efficacy, a similar sort of understanding has not been assessed for IVDUs yet. With this in mind, this review examines the pharmacokinetic/pharmacodynamic characteristics of antibiotics commonly used against gram-positive bacteria in IVDUs. Focusing on daptomycin, vancomycin, teicoplanin, aminoglycosides, and the novel lipoglycopeptide dalbavancin, the study reveals significant pharmacokinetic variations in IVDUs, suggesting the need for personalized dosing. Concomitant opioid substitution therapy and other factors, such as malnutrition, contribute to altered pharmacokinetics/pharmacodynamics, emphasizing the importance of targeted therapeutic drug monitoring. Overall, our study calls for increased awareness among clinicians regarding the unique pharmacokinetic/pharmacodynamic challenges in IVDUs and advocates for tailored antibiotic dosing strategies to enhance treatment outcomes in this marginalized population.

Indexed as

Drug UsersMethicillin-Resistant Staphylococcus aureusSubstance Abuse, IntravenousAnti-Bacterial AgentsHumansVancomycinAnti-Bacterial AgentsVancomycin

Identifiers

PMID38332425
OpenAlexW4391642709

What OpenQuestion holds

Textmetadata
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.