Evidence map›Paper›PMID 42125915›Full record

ArticlePediatric pulmonology2026

Tobramycin Pharmacokinetics in Pediatric People With Cystic Fibrosis on Maintenance Azithromycin.

Chelsea Flora, Samantha Engdahl, Rebecca S Pettit

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Chelsea FloraIndiana University Health, Indianapolis, Indiana, USA.
Samantha EngdahlRiley Hospital for Children, Indianapolis, Indiana, USA.
Rebecca S PettitRiley Hospital for Children, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-6049-0481

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany people with cystic fibrosis (PwCF) are colonized with Pseudomonas aeruginosa. Some studies have found that PwCF who use both tobramycin (TOB) and azithromycin during PEx treatment, have worse clinical outcomes, including a greater decline in percent predicted forced expiratory volume (ppFEV1) and lower odds of returning to baseline ppFEV1. The objective of this study was to compare the IV TOB elimination rate constant (Ke) between pediatric PwCF on maintenance azithromycin (mtAZM) versus those not on mtAZM.

methodsThis IRB-approved retrospective cohort study included pediatric PwCF who received IV TOB for PEx treatment from January 1, 2019-June 1, 2024.

resultsA total of 83 PwCF were included, 35 in mtAZM group and 48 in no mtAZM. Baseline characteristics were similar between both groups. The percentage of females was significantly higher in the mtAZM group (60%) versus the no mtAZM group (38%, p = 0.04). The mean TOB Ke was 0.39 h

conclusionsThis study demonstrated that mtAZM did not affect the Ke or other PK parameters of IV TOB. Despite previous reports of interactions between the two medications, our study suggests that similar TOB dosing and monitoring strategies can be used in those PwCF regardless of mtAZM use.

Indexed as

Anti-Bacterial AgentsAzithromycinCystic FibrosisPseudomonas InfectionsTobramycinAdolescentChildChild, PreschoolFemaleHumansMalePseudomonas aeruginosaRetrospective StudiesAnti-Bacterial AgentsAzithromycinTobramycin

Identifiers

PMID42125915
PMCPMC13383964

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Registered trials

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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.