1997
DOI: 10.1590/s1516-31801997000300010
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Adverse effects of vancomycin in children: a review of 22 cases

Abstract: Vancomycin has been frequently recommended for the treatment of multi-resistant infections. Twenty-two children undergoing vancomycin treatment were observed. Nine adverse effects were registered in 6 children: eosinophilia in 5 cases, skin rash in 2 cases, and an increase in plasma creatinine in 2 cases. All adverse effects remitted with withdrawal of the drug.

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Cited by 3 publications
(3 citation statements)
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“…Nephrotoxicity was defined as increase in serum creatinine of 0.5 mg/dL or more or 50% of baseline for 2 consecutive days during the period from initiation of vancomycin therapy to 72 hours after completion of therapy. The specific adverse events we looked for were ototoxicity [17], hematologic [18][19][20][21], central nervous system [22,23], dermatologic [24][25][26][27] and cardiovascular [28,29].…”
Section: Inclusion Criteria and Outcomesmentioning
confidence: 99%
“…Nephrotoxicity was defined as increase in serum creatinine of 0.5 mg/dL or more or 50% of baseline for 2 consecutive days during the period from initiation of vancomycin therapy to 72 hours after completion of therapy. The specific adverse events we looked for were ototoxicity [17], hematologic [18][19][20][21], central nervous system [22,23], dermatologic [24][25][26][27] and cardiovascular [28,29].…”
Section: Inclusion Criteria and Outcomesmentioning
confidence: 99%
“…To our knowledge, this is the first Indian study carried out to assess the steady-state pharmacokinetics of vancomycin in critically ill pediatric subjects. It is well known that short duration of vancomycin infusion is strongly associated with ADRs such as red man syndrome; 8,18,19 in the present study, all subjects received vancomycin infusion for the duration of 1 hour and it was well tolerated. However, one subject with hepatic dysfunction was discontinued from vancomycin and shifted to linezolid due to raised creatinine.…”
Section: Discussionmentioning
confidence: 69%
“…Antimicrobials carry the risk of following cardiotoxicities: [55][56][57][58][59] (1) piperacillin-tazobactam has been shown to induce TdP; (2) fl uoroquinolones such as levofl oxacin may potentially prolong the QT interval and caution should be taken with co-administering them with class I and class III antiarrhythmic drugs and in electrolyte imbalances; (3) vancomycin has not been reported to induce any cardiac adverse events, except the vascular collapse; (4) azithromycin also has been implicated in QTc prolongation and proarrhythmic events, particularly with CQ/HCQ. It can interact with anticoagulants, antiarrhythmics, other QT prolonging agents, and statins.…”
Section: Antimicrobialsmentioning
confidence: 99%