Antibiotics, Volume 11, Issue 8
2022 August - 157 articles
Cover Story: A multicentre, retrospective cohort study was conducted to examine the impact of colistin dosing regimens on nephrotoxicity. Of 306 hospitalized patients with a baseline glomerular filtration rate ≥ 50 mL/min who received the same daily dose (9 MU), 132 received the drug once (regimen A), 151 twice (regimen B), and 23 thrice daily (regimen C). Acute kidney injury (AKI), as defined by RIFLE criteria, occurred in 99 (32.4%) patients; there was no difference between regimen A vs. B and C (45 (34.1%) vs. 54 (31.0%), p = 0.57). In a propensity-score-matched cohort including 234 patients, AKI was similar in patients receiving regimen A vs. B and C (31.6% vs. 33.3%, p = 0.78). In a logistic regression analysis, diabetes was an independent predictor of AKI (OR = 4.59, 95% CI 2.03–10.39, p = 0.001), while eGFR > 80 mL/min (OR = 0.50, 95% CI 0.25–0.99, p = 0.048) was inversely associated with AKI. View this paper - Issues are regarded as officially published after their release is announced to the table of contents alert mailing list .
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