Renal safety of short-term empiric gentamicin therapy in aged patients

Christopher Sb Sia, Michelle R. Ananda-Rajah, Nikki R. Adler, Baey Yi-Wei, Danny Liew, Erica Y. Tong, Ar Kar Aung

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Abstract

Objective: To determine the incidence of acute kidney injury (AKI) in aged patients receiving empiric gentamicin therapy. Methods: Patients aged ≥65 years receiving gentamicin upon admission between 2013 and 2015 at two Australian hospitals were retrospectively studied. AKI was defined as a rise in creatinine by ≥50% and/or ≥26.5 μmol/L. Results: Most patients (95%) received a single dose of gentamicin. The incidence of AKI was 15% (36/242 patients). A composite outcome of persistent kidney injury, requirement for renal replacement therapy or inpatient death in a patient with AKI occurred in 10 (4%) patients. Patients who developed AKI were older (median 80.5 vs 78 years, P = 0.03), had higher Charlson Co-morbidity Index (median 7 vs 5, P = 0.0004) and had more advanced chronic kidney disease at baseline (Stages IV and V) (OR 4.38, 95% confidence interval 1.45-13.2, P = 0.01). Conclusion: Empiric gentamicin use in patients with advancing age is associated with low rates of predominantly transient renal impairment.

Original languageEnglish
Pages (from-to)227-231
Number of pages5
JournalAustralasian Journal on Ageing
Volume37
Issue number3
DOIs
Publication statusPublished - Sep 2018

Keywords

  • Acute kidney injury
  • Aminoglycosides
  • Gentamicin
  • Nephrology

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