Abstract
Cephalothin, an antibiotic implicated as nephrotoxic, falsely elevates the creatinine concentration as determined by the Jaffé reaction in vitro. We studied this effect in vivo and demonstrated variable degrees of interference in determinations of plasma and urinary creatinine concentrations by two automated methods. Clinicians should be aware of this phenomenon in patients receiving cephalothin, both when monitoring renal function and when assessing patient reliability in the collection of timed urine specimens.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barbour G. L., Crumb C. K., Boyd C. M., Reeves R. D., Rastogi S. P., Patterson R. M. Comparison of inulin, iothalamate, and 99mTc-DTPA for measurement of glomerular filtration rate. J Nucl Med. 1976 Apr;17(4):317–320. [PubMed] [Google Scholar]
- Bobrow S. N., Jaffe E., Young R. C. Anuria and acute tubular necrosis associated with gentamicin and cephalothin. JAMA. 1972 Dec 18;222(12):1546–1547. [PubMed] [Google Scholar]
- Cabanillas F., Burgos R. C., Rodríguez C., Baldizón C. Nephrotoxicity of combined cephalothin-gentamicin regimen. Arch Intern Med. 1975 Jun;135(6):850–852. [PubMed] [Google Scholar]
- Carling P. C., Idelson B. A., Casano A. A., Alexander E. A., McCabe W. R. Nephrotoxicity associated with cephalothin administration. Arch Intern Med. 1975 Jun;135(6):797–801. [PubMed] [Google Scholar]
- Hansen M. M., Kaaber K. Nephrotoxicity in combined cephalothin and gentamicin therapy. Acta Med Scand. 1977;201(5):463–467. doi: 10.1111/j.0954-6820.1977.tb15731.x. [DOI] [PubMed] [Google Scholar]
- Pickering M. J., Spooner G. R., de Quesada A., Cade J. R. Declining renal function associated with administration of cephalothin. South Med J. 1970 Apr;63(4):426–428. doi: 10.1097/00007611-197004000-00020. [DOI] [PubMed] [Google Scholar]
- Swain R. R., Briggs S. L. Positive interference with the Jaffé reaction by cephalosporin antibiotics. Clin Chem. 1977 Jul;23(7):1340–1342. [PubMed] [Google Scholar]
