Evidence map›Paper›PMID 7521830›Full record

ReviewDrugs1994

Parenteral aminoglycoside therapy. Selection, administration and monitoring.

C R Kumana, K Y Yuen

Abstract readReview
PubMed Publisher
In one paragraph

Review in Drugs, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
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

33 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Population pharmacokinetics of amikacin in critically ill patients.Antimicrobial agents and chemotherapy · 1996
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Amikacin Therapy in Japanese Pediatric Patients: Narrative Review.International journal of environmental research and public health · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Effects of atorvastatin on biomarkers of acute kidney injury in amikacin recipients: A pilot, randomized, placebo-controlled, clinical trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017
    Article
  15. Drug-induced acute kidney injury in children.British journal of clinical pharmacology · 2015
    Review
  16. Article
  17. Netilmicin-induced carpopedal spasm.Journal of pharmacology & pharmacotherapeutics · 2014
    Article
  18. [Antibiotic therapy: impact and resistance].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014
    Review
  19. Article
  20. 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

2 authors at 2 institutions in 2 countries.

C R KumanaDepartment of Medicine, University of Hong Kong, Queen Mary Hospital.
K Y Yuen
Queen Mary Hospital · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aminoglycosides are potent water-soluble antibiotics, with peak concentration-dependent bactericidal activity against many pathogenic aerobic Gram-negative bacilli and Staphylococcus aureus. For systemic therapy, they must be given parenterally (intravenously or intramuscularly). In the body they remain largely extracellular, but penetration into cerebrospinal fluid and other secretions is meagre. They display trough concentration-dependent reversible nephrotoxicity and The commonly irreversible ototoxicity, which may present after treatment ceases. Gentamicin is the usual all-purpose agent of choice, tobramycin is slightly more effective against Pseudomonas aeruginosa infections, amikacin is the least susceptible to degradation by bacterial enzymes and netilmicin is probably the least toxic. Clinical and drug concentration monitoring have a role in therapy. Aminoglycosides exhibit enduring antibacterial activity (especially against Gram-negative bacilli) many hours after tissue concentrations become negligible. Appreciation of this postantibiotic effect is leading to replacement of conventional multiple daily doses by large single daily doses. The latter regimens confer at least equivalent efficacy and less risk of toxicity (particularly renal). However, single daily dosage may be unsuitable for immunocompromised patients and in those with infective endocarditis, where there is insufficient experience. Cotreatment with beta-lactams is commonly used in order to exploit the synergism between these agents, particularly in enterococcal endocarditis and severe Gram-negative sepsis. Liposomal aminoglycosides are promising parenteral formulations. After being taken up by phagocytes they reach the liver, spleen and sites of inflammation; subsequently they are gradually released. To substantiate the applicability of these hitherto experimental formulations, findings from clinical studies are keenly awaited.

Indexed as

AminoglycosidesAnimalsAnti-Bacterial AgentsBacterial InfectionsDrug Administration ScheduleDrug CarriersDrug SynergismHumansInjections, IntramuscularInjections, IntravenousLiposomesRandomized Controlled Trials as TopicAminoglycosidesAnti-Bacterial AgentsDrug CarriersLiposomes

Identifiers

PMID7521830
OpenAlexW2077224515

What OpenQuestion holds

Textmetadata
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.