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Efficacy and nephrotoxicity of polymyxin B in elderly patients with carbapenem resistant bacterial infection
by
Feng, D. D.
, Lei, S.
, Jiang, R. L.
, Xu, X.
, Xia, G. L.
, Wang, X.
, You, X. B.
in
Acute kidney injury
/ Aged patients
/ Analysis
/ Antibiotics
/ Bacteria
/ Bacterial diseases
/ Bacterial infections
/ Biochemistry
/ Biomedical and Life Sciences
/ Biomedicine
/ Carbapenem-resistant organism
/ Carbapenems
/ Care and treatment
/ Chronic kidney failure
/ Complications and side effects
/ CRE bacteria
/ Creatinine
/ Drug dosages
/ Drug Resistance
/ Drug resistance in microorganisms
/ Drug therapy
/ Effectiveness
/ Elderly
/ Hospitals
/ Infection
/ Infections
/ Infectious Diseases
/ Kidney diseases
/ Medical ethics
/ Medical Microbiology
/ Medical prognosis
/ Medical research
/ Medicine, Experimental
/ Microbial Genetics and Genomics
/ Microbiology
/ Mortality
/ Older people
/ Parasitology
/ Patients
/ Polymyxin B
/ Prevention
/ Prognosis
/ Recovery
/ Regression analysis
/ Renal insufficiency
/ Risk factors
/ Sepsis
2023
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Efficacy and nephrotoxicity of polymyxin B in elderly patients with carbapenem resistant bacterial infection
by
Feng, D. D.
, Lei, S.
, Jiang, R. L.
, Xu, X.
, Xia, G. L.
, Wang, X.
, You, X. B.
in
Acute kidney injury
/ Aged patients
/ Analysis
/ Antibiotics
/ Bacteria
/ Bacterial diseases
/ Bacterial infections
/ Biochemistry
/ Biomedical and Life Sciences
/ Biomedicine
/ Carbapenem-resistant organism
/ Carbapenems
/ Care and treatment
/ Chronic kidney failure
/ Complications and side effects
/ CRE bacteria
/ Creatinine
/ Drug dosages
/ Drug Resistance
/ Drug resistance in microorganisms
/ Drug therapy
/ Effectiveness
/ Elderly
/ Hospitals
/ Infection
/ Infections
/ Infectious Diseases
/ Kidney diseases
/ Medical ethics
/ Medical Microbiology
/ Medical prognosis
/ Medical research
/ Medicine, Experimental
/ Microbial Genetics and Genomics
/ Microbiology
/ Mortality
/ Older people
/ Parasitology
/ Patients
/ Polymyxin B
/ Prevention
/ Prognosis
/ Recovery
/ Regression analysis
/ Renal insufficiency
/ Risk factors
/ Sepsis
2023
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Efficacy and nephrotoxicity of polymyxin B in elderly patients with carbapenem resistant bacterial infection
by
Feng, D. D.
, Lei, S.
, Jiang, R. L.
, Xu, X.
, Xia, G. L.
, Wang, X.
, You, X. B.
in
Acute kidney injury
/ Aged patients
/ Analysis
/ Antibiotics
/ Bacteria
/ Bacterial diseases
/ Bacterial infections
/ Biochemistry
/ Biomedical and Life Sciences
/ Biomedicine
/ Carbapenem-resistant organism
/ Carbapenems
/ Care and treatment
/ Chronic kidney failure
/ Complications and side effects
/ CRE bacteria
/ Creatinine
/ Drug dosages
/ Drug Resistance
/ Drug resistance in microorganisms
/ Drug therapy
/ Effectiveness
/ Elderly
/ Hospitals
/ Infection
/ Infections
/ Infectious Diseases
/ Kidney diseases
/ Medical ethics
/ Medical Microbiology
/ Medical prognosis
/ Medical research
/ Medicine, Experimental
/ Microbial Genetics and Genomics
/ Microbiology
/ Mortality
/ Older people
/ Parasitology
/ Patients
/ Polymyxin B
/ Prevention
/ Prognosis
/ Recovery
/ Regression analysis
/ Renal insufficiency
/ Risk factors
/ Sepsis
2023
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Efficacy and nephrotoxicity of polymyxin B in elderly patients with carbapenem resistant bacterial infection
Journal Article
Efficacy and nephrotoxicity of polymyxin B in elderly patients with carbapenem resistant bacterial infection
2023
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Overview
Background
To study the efficacy and nephrotoxicity of polymyxin B in the treatment of elderly patients with carbapenem-resistant organism (CRO) infection.
Methods
The clinical and microbiological data of patients with CRO-infected sepsis treated with polymyxin B were retrospectively analyzed. The effective rate, bacterial clearance, incidence and recovery rate of acute renal injury (AKI) and prognosis-related indicators in AKI at different stages were compared.
Results
The effective rate of 215 elderly patients with CRO infection treated with polymyxin was 50.7%. The total bacterial clearance rate was 44.2%, the total incidence of AKI was 37.2%, the recovery rate of AKI was 35%, and the incidence range of polymyxin B-related AKI was 10.2–37.2%. Logistic multivariate regression analysis showed that the predictors of AKI in elderly patients were high APACHE II score, long duration of polymyxin, chronic renal insufficiency and ineffective outcome; the ROC curve showed that the cutoff value for predicting AKI was a serum creatinine concentration of 73 mmol/L before polymyxin B use, and the AUC was 0.931.
Conclusions
Rational use of polymyxin B is safe and effective in elderly patients with CRO infection, and its effective outcome can improve the recovery rate of AKI.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
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