Tubular disorders in low birth weight neonates after prolonged antibiotic treatment

dc.contributor.authorGiapros, V. I.en
dc.contributor.authorPapadimitriou, F. K.en
dc.contributor.authorAndronikou, S. K.en
dc.date.accessioned2015-11-24T19:03:32Z
dc.date.available2015-11-24T19:03:32Z
dc.identifier.issn1661-7800-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19909
dc.rightsDefault Licence-
dc.subjectAminoglycosides/*adverse effectsen
dc.subjectAnti-Bacterial Agents/*adverse effectsen
dc.subjectCreatinine/blooden
dc.subjectDrug Therapy, Combinationen
dc.subjectFemaleen
dc.subjectGestational Ageen
dc.subjectHumansen
dc.subjectHypokalemia/chemically induceden
dc.subjectHypophosphatemia/chemically induceden
dc.subjectIatrogenic Diseaseen
dc.subject*Infant, Low Birth Weighten
dc.subjectInfant, Newbornen
dc.subjectInfant, Prematureen
dc.subjectKidney Diseases/*chemically induced/complications/metabolism/physiopathologyen
dc.subjectKidney Tubules/*drug effects/metabolism/physiopathologyen
dc.subjectMaleen
dc.subjectRetrospective Studiesen
dc.subjectVancomycin/*adverse effectsen
dc.titleTubular disorders in low birth weight neonates after prolonged antibiotic treatmenten
heal.abstractBACKGROUND: 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.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1159/000097132-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/17344665-
heal.identifier.secondaryhttp://content.karger.com/ProdukteDB/produkte.asp?doi=10.1159/000097132-
heal.journalNameNeonatologyen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2007-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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