The risk factors of colistin methanesulfonate associated nephrotoxicity

PURPOSE: The risk factors of colistin methanesulfonate (CMS) associated nephrotoxicity are important. Our study attempts look into the prevalence of CMS-associated nephrotoxicity in Intensive Care Units (ICUs), and related risk factors. MATERIALS AND METHODS: The study was conducted between Septembe...

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Detalles Bibliográficos
Autores principales: Tigen, Elif Tükenmez, Koltka, E. Nursen, Dogru, Arzu, Gura, Melek, Vahabaoglu, Haluk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Short Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922289/
https://www.ncbi.nlm.nih.gov/pubmed/27390460
http://dx.doi.org/10.4103/0972-5229.183905
Descripción
Sumario:PURPOSE: The risk factors of colistin methanesulfonate (CMS) associated nephrotoxicity are important. Our study attempts look into the prevalence of CMS-associated nephrotoxicity in Intensive Care Units (ICUs), and related risk factors. MATERIALS AND METHODS: The study was conducted between September 2010 and April 2012 on 55 patients who underwent CMS treatment. Nephrotoxicity risk was defined based on the Risk Injury Failure Loss End-stage kidney disease criteria. RESULTS: Fifty-five patients included in the study. A total of 22 (40%) patients developed nephrotoxicity. The correlation was detected between nephrotoxicity and patients over 65 with a high Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) II score. APACHE II score was revealed an independent risk factor for nephrotoxicity. CONCLUSION: Advanced age and a high APACHE II score are significant risk factors in the development of nephrotoxicity at ICUs following CMS use. Patient selection and close monitoring are critical when starting CMS treatment.

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