Evidence map›Paper›PMID 39082803›Full record

Observational studyAntimicrobial agents and chemotherapy2024

Meropenem pharmacokinetics in cerebrospinal fluid: comparing intermittent and continuous infusion strategies in critically ill patients-a prospective cohort study.

Sebastian G Wicha, Christina Kinast, Max Münchow, Sandra Wittova, Sebastian Greppmair, Alexandra K Kunzelmann, Michael Zoller, Michael Paal, Michael Vogeser, Katharina Habler and 6 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Antimicrobial agents and chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04426383 (Evaluation of a TDM Program for Intensive Care Patients in the Cerebrospinal), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT04426383 completednot on this map

Evaluation of a TDM Program for Intensive Care Patients in the Cerebrospinal

Typeobservational_patient_registrySponsorLudwig-Maximilians - University of MunichRan2020 to 2022Enrolled32ConditionsVentriculitis, Infectious
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
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  6. 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

16 authors.

Sebastian G WichaDepartment of Clinical Pharmacy, Institute of Pharmacy, University of Hamburg, Hamburg, Germany.
Christina KinastDepartment of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Max MünchowDepartment of Clinical Pharmacy, Institute of Pharmacy, University of Hamburg, Hamburg, Germany.
Sandra WittovaDepartment of Clinical Pharmacy, Institute of Pharmacy, University of Hamburg, Hamburg, Germany.
Sebastian GreppmairDepartment of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Alexandra K KunzelmannDepartment of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Michael ZollerDepartment of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Michael PaalInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Michael VogeserInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Katharina HablerInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Thomas WeigDepartment of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Nicole TerpolilliDepartment of Neurosurgery, LMU University Hospital, LMU Munich, Munich, Germany.
Suzette HeckDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Konstantinos DimitriadisDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Christina Scharf *Department of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Uwe Liebchen *Department of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-4375-0923

Funding

University of Munich LMU FöFoLe No. 002
6 · The paper itself

Abstract

Meropenem penetration into the cerebrospinal fluid (CSF) is subject to high interindividual variability resulting in uncertain target attainment in CSF. Recently, several authors recommended administering meropenem as a continuous infusion (CI) to optimize CSF exposure. This study aimed to compare the concentrations and pharmacokinetics of meropenem in CSF after intermittent infusion (II) and CI. This prospective, observational study (NCT04426383) included critically ill patients with external ventricular drains who received either II or CI of meropenem. Meropenem pharmacokinetics in plasma and CSF were characterized using population pharmacokinetic modeling (NONMEM 7.5). The developed model was used to compare the concentration-time profile and probability of target attainment (PTA) between II and CI. A total of 16 patients (8 CI, 8 II; samples: n CLINICAL TRIALS: This study is registered with ClinicalTrials.gov as NCT04426383.

Indexed as

Anti-Bacterial AgentsCritical IllnessMeropenemAdultAgedFemaleHumansInfusions, IntravenousMaleMiddle AgedProspective StudiesAnti-Bacterial AgentsMeropenemcentral nervous system infectionexternal ventricular drainmeningitispopulation pharmacokineticssepsisventriculitis

Identifiers

PMID39082803
PMCPMC11373225

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.