Evidence map›Paper›PMID 41859700›Full record

ReviewOpen forum infectious diseases2026

Antimicrobial Pharmacokinetic and Pharmacodynamic Considerations in Special Populations: A Call to Action.

Marguerite L Monogue, James M Sanders, Nicholas J Mercuro, Crystal K Hodge, Esther Golnabi, Tyla Carettini, Christina F Yen, James B Cutrell

Abstract readReview
In one paragraph

Review in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  2. [Research on the pharmacokinetics of linezolid in burn patients].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    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.

Marguerite L MonogueUS Medical Affairs, bioMérieux, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-8251-458X
James M SandersDepartment of Pharmacy, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0009-0002-0341-0171
Nicholas J MercuroDivision of Infectious Diseases, Department of Pharmacy, MaineHealth Maine Medical Center, Portland, Maine, USA.ORCID https://orcid.org/0000-0001-7619-8736
Crystal K HodgeDepartment of Pharmacy, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-0880-1780
Esther GolnabiDepartment of Pharmacy, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Tyla CarettiniDepartment of Pharmacy, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Christina F YenDivision of Infectious Diseases, Department of Internal Medicine, MaineHealth Maine Medical Center, Portland, Maine, USA.
James B CutrellDivision of Infectious Diseases and Geographic Medicine, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0003-1359-4701

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacokinetic (PK) and pharmacodynamic (PD) variability in special populations can impact antimicrobial efficacy and safety. This review highlights the importance of PK/PD optimization in patients known to have altered PK, including those with obesity, cystic fibrosis, renal dysfunction, critical illness, transplantation, pregnancy, and/or significant burns. Historically, PK/PD data are underrepresented in these populations, leading to suboptimal dosing recommendations and increased risks of therapeutic failure or toxicity. Herein, we discuss key physiological alterations affecting antimicrobial PK/PD, regulatory challenges, and currently available solutions. To bridge these knowledge gaps, we advocate for broader patient inclusion in clinical trials, improved PK modeling, real-world data collection, and increased investment in precision dosing strategies. Addressing these issues has the potential to enhance patient outcomes, reduce antimicrobial resistance, and improve infectious diseases management. This review serves as a call to action for researchers, clinicians, and policymakers to prioritize PK/PD research in special patient populations.

Indexed as

antimicrobialcystic fibrosisobesitypharmacodynamicspharmacokinetics

Identifiers

PMID41859700
PMCPMC12996921

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.