Tubular disorders in low birth weight neonates after prolonged antibiotic treatment
Φόρτωση...
Ημερομηνία
Συγγραφείς
Giapros, V. I.
Papadimitriou, F. K.
Andronikou, S. K.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Neonatology
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
BACKGROUND: Aminoglycosides (AGs) and vancomycin (VM) are potentially nephrotoxic antibiotics and their co-administration increases the incidence of nephrotoxicity in adult patients. Their combined effects on renal function in extremely low birth weight (ELBW) infants (<1,000 g) have not been previously reported. OBJECTIVES: Investigation of tubular disturbances in five ELBW neonates following repeated and prolonged treatment with a variety of AGs combined with VM. RESULTS: The drug levels were maintained in the neonatal therapeutic range. Renal tubular wasting of potassium, phosphate, and calcium, along with hypokalemia, was documented in all neonates studied while associated hypophosphatemia was observed in three of the five neonates and a transient rise in serum creatinine in four. The renal disturbances resolved completely 1-2 weeks after cessation of treatment. CONCLUSION: Renal tubular disturbances due to AG and VM treatment in ELBW neonates may be more common than they are diagnosed. Early detection and appropriate electrolyte supplementation may help to normalize serum electrolyte levels in these infants.
Περιγραφή
Λέξεις-κλειδιά
Aminoglycosides/*adverse effects, Anti-Bacterial Agents/*adverse effects, Creatinine/blood, Drug Therapy, Combination, Female, Gestational Age, Humans, Hypokalemia/chemically induced, Hypophosphatemia/chemically induced, Iatrogenic Disease, *Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Kidney Diseases/*chemically induced/complications/metabolism/physiopathology, Kidney Tubules/*drug effects/metabolism/physiopathology, Male, Retrospective Studies, Vancomycin/*adverse effects
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/17344665
http://content.karger.com/ProdukteDB/produkte.asp?doi=10.1159/000097132
http://content.karger.com/ProdukteDB/produkte.asp?doi=10.1159/000097132
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής