Relationship of vancomycin trough levels with acute kidney injury risk: an exposure–toxicity meta-analysis
Author(s) -
Ioannis Bellos,
G. Daskalakis,
Vasilios Pergialiotis
Publication year - 2020
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkaa184
Subject(s) - nephrotoxicity , medicine , trough concentration , acute kidney injury , vancomycin , trough level , meta analysis , renal function , toxicity , creatinine , gastroenterology , surgery , urology , pharmacokinetics , staphylococcus aureus , transplantation , tacrolimus , biology , bacteria , genetics
Nephrotoxicity represents a major complication of vancomycin administration, leading to high rates of morbidity and treatment failure. The aim of this meta-analysis was to evaluate the association between trough levels and risk of renal impairment, by defining an exposure-toxicity relationship and assessing its accuracy in predicting the development of acute kidney injury (AKI).
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