Colistin Dosing and Nephrotoxicity in a Large Community Teaching Hospital

Author:

DeRyke C. Andrew1,Crawford Amanda J.2,Uddin Nizam3,Wallace Mark R.4

Affiliation:

1. Department of Pharmacy, Orlando Health, Orlando, Florida

2. Department of Epidemiology and Biostatistics, University of Florida, Gainesville, Florida

3. Department of Statistics, University of Central Florida, Orlando, Florida

4. Division of Infectious Diseases, Orlando Health, Orlando, Florida

Abstract

ABSTRACT Thirty adult patients who received intravenous colistin (5.1 ± 2.4 mg/kg/day) were reviewed to evaluate dosing with respect to nephrotoxicity, which occurred in 10 (33%) patients within the first 5 days of treatment. Excessive colistin dosing was frequent (47%), often (71%) resulted from the use of actual body weight in obese patients, and was associated with higher rates of nephrotoxicity (80% versus 30%, P = 0.019).

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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