...
首页> 外文期刊>藥學雜誌 >Frequency of Acute Kidney Injury Caused by Tazobactam/Piperacillin in Patients with Pneumonia and Chronic Kidney Disease: A Retrospective Observational Study
【24h】

Frequency of Acute Kidney Injury Caused by Tazobactam/Piperacillin in Patients with Pneumonia and Chronic Kidney Disease: A Retrospective Observational Study

机译:Tazobactam / Piperillin患者患有肺炎和慢性肾病患者急性肾损伤的频率:回顾性观测研究

获取原文
获取原文并翻译 | 示例
           

摘要

Tazobactam/piperacillin (TAZ/PIPC) is a combination antibiotic frequently used to treat pneumonia. It has recently been reported that TAZ/PIPC worsens renal function in patients with existing renal impairment. Creatinine clearance is generally between10 and 40 mL/min in Japanese patients, so TAZ/PIPC is given at a dose of 2.25 g three times daily or 4.5 g twice daily. If pneumonia is severe or intractable, the dose frequency may be increased to 2.25 g four times daily and 4.5 g three times daily. We examined the effect of these different dosing regimens on renal function. We studied a cohort of 57 patients with impaired renal function hospitalized with pneumonia and treated with TAZ/PIPC between January 2015 and November 2016. Patients were classified into four groups according to TAZ/PIPC dose: 2.25 g three times daily (Group A) ; 2.25 g four times daily (B) ; 4.5 g twice daily (C) and 4.5 g three times daily (D), We examined the frequency of acute kidney injury (AKI) and treatment effectiveness. In Groups A, B, C and D, AKI occurred in 5.6 %, 0.0%, 25.0% and 38.5% of patient. In groups C and D, hydration and dose reduction were required to address early signs of impending AKI. Our findings suggest that the higher TAZ/PIPC dose of 4.5 g was responsible for the decline in renal function, even if the dose frequency was reduced.
机译:Tazobactam / piperacillin(TAZ / PIPC)是常常用于治疗肺炎的组合抗生素。最近据报道,TAZ / PIPC在现有肾脏损伤患者中恶化肾功能。在日本患者中,肌酐清除通常在10至40毫升/分钟之间,因此TAZ / PIPC每天3次或每天两次为4.5克给予2.25克的剂量。如果肺炎是严重或难治性的,剂量频率可以每天四次增加至2.25克,每日三次4.5克。我们检查了这些不同剂量方案对肾功能的影响。我们研究了57名肾功能受损患者患有肺炎的57名患者,并在2015年1月至2016年1月至2016年11月在2016年1月至2016年11月治疗。根据TAZ / PIPC剂量分为四组:每日2.25克(A组);每日420次(B);每日两次(C)和每日三次4.5克(D),我们检查了急性肾损伤(AKI)和治疗效果的频率。在A组中,B,C和D,AKI发生在5.6%,0.0%,25.0%和38.5%的患者。在C和D组中,需要水合和剂量减少来解决即将到期的早期迹象。我们的研究结果表明,即使剂量频率降低,4.5克的较高的TAZ / PIPC剂量为4.5g的负责肾功能下降。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号