Evidence map›Paper›PMID 42267075›Full record

ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2026

Ganciclovir Therapeutic Drug Monitoring in Critically Ill Pediatric Patients Receiving Continuous Renal Replacement Therapy.

Christina J Smith, Laura J Walsh, Kyle R Roberts, Sai Karwande

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In one paragraph

Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

4 authors.

Christina J SmithDepartment of Pharmacy (CJS, LJW, KR, SVK), Seattle Children's Hospital, Seattle, WA.
Laura J WalshDepartment of Pharmacy (CJS, LJW, KR, SVK), Seattle Children's Hospital, Seattle, WA.
Kyle R RobertsDepartment of Pharmacy (CJS, LJW, KR, SVK), Seattle Children's Hospital, Seattle, WA.
Sai KarwandeDepartment of Pharmacy (CJS, LJW, KR, SVK), Seattle Children's Hospital, Seattle, WA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdeal ganciclovir dosing for the treatment of cytomegalovirus and herpesvirus in children receiving continuous renal replacement therapy (CRRT) is unknown. Available literature regarding ganciclovir pharmacokinetics (PK) in children suggests high interpatient variability and risk of underexposure. Therapeutic drug monitoring (TDM) may be of benefit in pediatric patients to optimize dosing, with a 24-hour area under the curve (AUC

methodsThis retrospective, single-center cohort study reviewed the electronic medical records of patients 17 years of age or younger who received ganciclovir treatment along with drug concentration monitoring in the pediatric intensive care unit (PICU) between July 2022 and July 2023. Data included ganciclovir dose, PK parameters, CRRT modality, as well as effectiveness and safety outcomes.

resultsA total of 5 patients (median age, 12 years; IQR, 8.5-14.5) received ganciclovir in the PICU. Patients received continuous venovenous hemodiafiltration at a median clearance rate of 1928 mL/1.73m

conclusionThe results of this study show variable ganciclovir drug exposure in critically ill pediatric patients receiving CRRT. Further study is needed to determine appropriate ganciclovir dosing and the role of TDM in this population.

Indexed as

childrencytomegalovirusdrug monitoringganciclovirrenal replacement therapy

Identifiers

PMID42267075
PMCPMC13245428

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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.