Imperial College London
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DrLukeMoore

Faculty of Medicine, Department of Infectious Disease

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

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Location

 

Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Asumang:2021:jacamr/dlab012,
author = {Asumang, J and Heard, K and Troise, O and Fahmy, S and Mughal, N and Moore, L and Hughes, S},
doi = {jacamr/dlab012},
journal = {JAC-Antimicrobial Resistance},
title = {Evaluation of a thrice weekly administration of teicoplanin in the outpatient setting;  retrospective observational multi-centre study},
url = {http://dx.doi.org/10.1093/jacamr/dlab012},
volume = {3},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction:The glycopeptide teicoplanin is commonly utilised to facilitate Outpatient Parenteral Antimicrobial Therapy (OPAT). Licensed for once daily maintenance dosing, teicoplanin’s long half-life allows for less frequent dosing (e.g. thrice weekly) following successful loading. This service evaluation reviews the safety and effectiveness of a novel thrice weekly teicoplanin dosing regimen.MethodsA retrospective, observational study was conducted at Chelsea & Westminster hospital (March 2018 – July 2020), evaluating trough serum teicoplanin concentrations for patients receiving >5 days of teicoplanin in the OPAT setting. Teicoplanin dosing and administration (once daily versus thrice weekly), clinical outcomes, and therapeutic levels were analysed for all patients. The project was registered with clinical governance locally.ResultsA total of 82 patients treated with teicoplanin in the OPAT service where included; 53/82 receiving thrice weekly and 29/82 receiving once daily dosing.  Mean teicoplanin trough levels were similar in both groups (26.2mg/L and 25.8mg/L in once daily and thrice weekly groups, p=0.8895). High clinical success rates were recorded in both groups (25/29 [86.2%] versus 50/53 [94.3%]). No correlation with clinical outcomes and initial teicoplanin serum levels was identified. Normal renal function (>90mL/min) was associated with lower teicoplanin serum concentrations (21.4mg/L[±10.1] versus 29.7mg/L[SD±14], p = 0.0178) in the thrice weekly dosed group  but not with the once daily dosed group (mean 28.2mg/L[±9.4] versus 23.7mg/L[±9.9], p = 0.2201). ConclusionsThis study supports thrice weekly teicoplanin as a convenient and effective OPAT for administration in the OPAT setting. Therapeutic drug monitoring is advised to adjust for intra-patient variability.
AU  - Asumang,J
AU  - Heard,K
AU  - Troise,O
AU  - Fahmy,S
AU  - Mughal,N
AU  - Moore,L
AU  - Hughes,S
DO  - jacamr/dlab012
PY  - 2021///
SN  - 2632-1823
TI  - Evaluation of a thrice weekly administration of teicoplanin in the outpatient setting;  retrospective observational multi-centre study
T2  - JAC-Antimicrobial Resistance
UR  - http://dx.doi.org/10.1093/jacamr/dlab012
UR  - http://hdl.handle.net/10044/1/87065
VL  - 3
ER  -
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