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High‐dose ibuprofen is not associated with increased biomarkers of kidney injury in patients with cystic fibrosis
Author(s) -
Lahiri Thomas,
Guillet Alyson,
Diehl Sandra,
Ferguson Michael
Publication year - 2014
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.22795
Subject(s) - medicine , cystic fibrosis , creatinine , acute kidney injury , renal function , gastroenterology , ibuprofen , urine , biomarker , kidney , nephrotoxicity , toxicity , kidney disease , urology , pharmacology , biochemistry , chemistry
Summary High‐dose ibuprofen (IBU) may slow the decline of lung function in patients with cystic fibrosis (CF), but its use has been limited due to concerns over renal and gastrointestinal toxicity. In this pilot study, we examined the association of IBU with markers of acute kidney injury (AKI) in patients with CF. The effect of aminoglycoside (AG) exposure on AKI biomarkers was also examined. The AKI markers, kidney injury molecule‐1 (KIM), N ‐acetyl‐β‐glucosaminidase (NAG) and urine protein, normalized for creatinine, were chosen as they are more sensitive indicators of kidney injury than changes in serum creatinine. Urine samples from 52 patients, 26 from patients who were treated with IBU, were analyzed. There was no significant association between IBU treatment and KIM‐1, NAG or protein levels, compared to patients never treated with IBU. While there was an association between AG courses and KIM‐1 levels, there were no differences in biomarker levels between IBU and non‐IBU groups with respect to AG courses. These preliminary results suggest that IBU treatment in patients with CF may be safe with respect to renal toxicity. Pediatr Pulmonol. 2014; 49:148–153. © 2013 Wiley Periodicals, Inc.