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. 1979 Jan;15(1):46–49. doi: 10.1128/aac.15.1.46

Protection from Gentamicin Nephrotoxicity by Cephalothin and Carbenicillin

Richard Bloch 1,, Friedrich C Luft 1, Laura I Rankin 1, Rebecca S Sloan 1, Moo Nahm Yum 1, Douglas R Maxwell 1
PMCID: PMC352598  PMID: 426505

Abstract

In rats, cephalothin exerts a protective effect upon the nephrotoxicity of gentamicin. To examine the possibility that this effect is also observed with carbenicillin, we gave the following (milligrams per kilogram) to rats daily for 14 days: gentamicin alone, 60; gentamicin plus cephalothin, 100, 500, or 1,000; gentamicin plus carbenicillin, 50, 100, 250, 500, or 1,000. A 500-mg/kg dose of cephalothin afforded significant partial protection from gentamicin nephrotoxicity, as did a 100-mg/kg dose of carbenicillin. Increasing doses of either drug failed to increase protection. The data suggest that in rats not only does carbenicillin afford some protection from gentamicin nephrotoxicity, but also that it does so at a lower dose than cephalothin. These findings may in part explain the divergent observations regarding the nephrotoxicity of cephalothin-gentamicin combination therapy in rats and humans.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Dellinger P., Murphy T., Barza M., Pinn V., Weinstein L. Effect of cephalothin on renal cortical concentrations of gentamicin in rats. Antimicrob Agents Chemother. 1976 Apr;9(4):587–588. doi: 10.1128/aac.9.4.587. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Dellinger P., Murphy T., Pinn V., Barza M., Weinstein L. Protective effect of cephalothin against gentamincin-induced nephrotoxicity in rats. Antimicrob Agents Chemother. 1976 Jan;9(1):172–178. doi: 10.1128/aac.9.1.172. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. DiBona G. F., McDonald F. D., Flamenbaum W., Dammin G. J., Oken D. E. Maintenance of renal function in salt loaded rats despite severe tubular necrosis induced by HgCl 2 . Nephron. 1971;8(3):205–220. doi: 10.1159/000179922. [DOI] [PubMed] [Google Scholar]
  4. Hagstrom G. L., Luft F. C., Yum M. N., Sloan R. S., Maxwell D. R. Nephrotoxicity of netilmicin in combination with non-aminoglycoside antibiotics. Antimicrob Agents Chemother. 1978 Mar;13(3):490–493. doi: 10.1128/aac.13.3.490. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Harrison W. O., Silverblatt F. J., Turck M. Gentamicin nephrotoxicity: failure of three cephalosporins to potentiate injury in rats. Antimicrob Agents Chemother. 1975 Aug;8(2):209–215. doi: 10.1128/aac.8.2.209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Houghton D. C., Hartnett M., Campbell-Boswell M., Porter G., Bennett W. A light and electron microscopic analysis of gentamicin nephrotoxicity in rats. Am J Pathol. 1976 Mar;82(3):589–612. [PMC free article] [PubMed] [Google Scholar]
  7. Kunin C. M. Binding of antibiotics to tissue homogenates. J Infect Dis. 1970 Jan;121(1):55–64. doi: 10.1093/infdis/121.1.55. [DOI] [PubMed] [Google Scholar]
  8. Luft F. C., Patel V., Yum M. N., Kleit S. A. Nephrotoxicity of cephalosporin-gentamicin combinations in rats. Antimicrob Agents Chemother. 1976 May;9(5):831–839. doi: 10.1128/aac.9.5.831. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Luft F. C., Rankin L. I., Sloan R. S., Yum M. N. Recovery from aminoglycoside nephrotoxicity with continued drug administration. Antimicrob Agents Chemother. 1978 Sep;14(3):284–287. doi: 10.1128/aac.14.3.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. MARSH W. H., FINGERHUT B., MILLER H. AUTOMATED AND MANUAL DIRECT METHODS FOR THE DETERMINATION OF BLOOD UREA. Clin Chem. 1965 Jun;11:624–627. [PubMed] [Google Scholar]
  11. Patel V., Luft F. C., Yum M. N., Patel B., Zeman W., Kleit S. A. Enzymuria in gentamicin-induced kidney damage. Antimicrob Agents Chemother. 1975 Mar;7(3):364–369. doi: 10.1128/aac.7.3.364. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Wade J. C., Smith C. R., Petty B. G., Lipsky J. J., Conrad G., Ellner J., Lietman P. S. Cephalothin plus an aminoglycoside is more nephrotoxic than methicillin plus an aminoglycoside. Lancet. 1978 Sep 16;2(8090):604–606. doi: 10.1016/s0140-6736(78)92825-8. [DOI] [PubMed] [Google Scholar]

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