Evidence map›Paper›PMID 40397762›Full record

ArticleTherapeutic drug monitoring2025

Therapeutic Drug Monitoring of Beta-Lactams in Cystic Fibrosis: Unattained Target in Standard Antibiotic Dosing.

Eliska Maraczek Markova, Nela Stastna, Libor Fila, Katerina Horska

Abstract readCase Reports
In one paragraph

Article in Therapeutic drug monitoring, 2025. 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
–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.

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. 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

4 authors.

Eliska Maraczek MarkovaDepartment of Clinical Pharmacy, Hospital Pharmacy, University Hospital Brno, Brno, Czech Republic.
Nela StastnaDepartment of Pneumology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic; and.ORCID 0000-0001-6906-9901
Libor FilaDepartment of Pneumology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic; and.
Katerina HorskaDepartment of Clinical Pharmacy, Hospital Pharmacy, University Hospital Brno, Brno, Czech Republic.

Funding

Masarykova Univerzita project MUNI/A/1433/2023Ministerstvo Vnitra Ceske Republiky FNBr, 65269705
6 · The paper itself

Abstract

abstractAcute exacerbations of cystic fibrosis (CF) diminish quality of life and, if inadequately treated, can be life-threatening. The pathophysiological alterations associated with CF result in modified antibiotic pharmacokinetics. Moreover, the viscous mucus in the lungs limits pathogen exposure to drugs, rendering successful antibiotic treatment challenging. A 23-year-old female patient with CF was repeatedly admitted for intravenous antibiotic therapy for acute exacerbation of Pseudomonas aeruginosa infection. In the context of altered pharmacokinetics in CF, therapeutic drug monitoring of meropenem and piperacillin revealed consistently low plasma levels of both drugs. Targeted plasma levels were ultimately achieved through continuous high-dose infusions, based on therapeutic drug monitoring and subsequent dose adjustments.

Indexed as

beta Lactam AntibioticsCystic FibrosisPseudomonas InfectionsDrug MonitoringFemaleHumansMeropenemPiperacillinPseudomonas aeruginosaYoung Adultbeta Lactam AntibioticsMeropenemPiperacillincystic fibrosismeropenempiperacillintherapeutic drug monitoring

Identifiers

PMID40397762
PMCPMC12422600

What OpenQuestion holds

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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.