Amikacin-induced acute kidney injury in mechanically ventilated critically ill patients with sepsis

Ergün, Bişar; Esenkaya, Fethiye; Küçük, Murat; Yakar, Mehmet Nuri; Uzun, Ozcan; Heybeli, Cihan; Hancı, Volkan; Ergan, Begüm; Cömert, Bilgin; GÖKMEN, Necati

doi:10.1080/1120009x.2022.2153316

Cited by 2 publications

(2 citation statements)

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“…Aminoglycosides are a common reason for nephrotoxicity. Amikacin-induced AKI in mechanically ventilated critically ill patients with sepsis was 26.7%, and among factors independently associated with an increased risk of amikacin-induced AKI were concurrent use of colistin (OR = 25.51, 95%CI: 6.99–93.05, p < 0.001), presence of septic shock (OR = 4.22, 95%CI: 1.76–10.11, p = 0.001), and Charlson Comorbidity Index (OR = 1.14, 95%CI: 1.02–1.28, p = 0.025) [ 226 ].…”

Section: General Considerations On Ab Pharmacokinetics In the Elderlymentioning

confidence: 99%

“…Linezolid AIN [223] Gentamicin, amikacin Apical transport results in the accumulation of aminoglycosides within tubular cells leading to the cell injury and death (proximal tubulopathy) due to lysosomal accumulation, inhibition of lysosomal enzymes and formation of myelin bodies. direct proximal and distal tubule cytotoxicity [221,226] Table 6. Cont.…”

Section: Excretionmentioning

confidence: 99%

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Pharmacokinetics of Antibacterial Agents in the Elderly: The Body of Evidence

et al. 2023

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Infections are important factors contributing to the morbidity and mortality among elderly patients. High rates of consumption of antimicrobial agents by the elderly may result in increased risk of toxic reactions, deteriorating functions of various organs and systems and leading to the prolongation of hospital stay, admission to the intensive care unit, disability, and lethal outcome. Both safety and efficacy of antibiotics are determined by the values of their plasma concentrations, widely affected by physiologic and pathologic age-related changes specific for the elderly population. Drug absorption, distribution, metabolism, and excretion are altered in different extents depending on functional and morphological changes in the cardiovascular system, gastrointestinal tract, liver, and kidneys. Water and fat content, skeletal muscle mass, nutritional status, use of concomitant drugs are other determinants of pharmacokinetics changes observed in the elderly. The choice of a proper dosing regimen is essential to provide effective and safe antibiotic therapy in terms of attainment of certain pharmacodynamic targets. The objective of this review is to perform a structure of evidence on the age-related changes contributing to the alteration of pharmacokinetic parameters in the elderly.

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Section: General Considerations On Ab Pharmacokinetics In the Elderlymentioning

confidence: 99%

Section: Excretionmentioning

confidence: 99%