TABLE 1.
Characteristics of the included patients and plasma CMS and formed colistin concentrations
Patient | Gender | Age (yr) | CMS daily dose (MIU/h) | SCra (mg/liter) |
eGFRa,b (ml/min) |
Cmin ss/Cmax ss (mg/liter)c |
AKI (RIFLE classification)d | Other nephrotoxic drugsd | |||
---|---|---|---|---|---|---|---|---|---|---|---|
Initial | Final | Initial | Final | Formed colistin in plasma | CMS in plasma | ||||||
1 | Female | 72 | 1/24 | 5.18 | 6.25 | 9 | 7 | 0.8/0.8 | 1.9/4.5 | N | Y (furosemide) |
2 | Male | 57 | 1/8 | 0.36 | 0.57 | 266 | 156 | NA/1.5 | 5.9/11.7 | Y (R) | Y (furosemide) |
3 | Male | 44 | 1/8 | 1.45 | 1.4 | 56 | 2 | 0.4/0.6 | 1.7/4.7 | N | N |
4 | Male | 67 | 2/12 | 1.51 | 1.36 | 49 | 56 | 0.9/0.9 | 4.1/9.3 | N | Y (furosemide, NSAIDs) |
5 | Male | 63 | 2/8 | 0.95 | 0.77 | 85 | 108 | 1.4/NA | 4.2/NA | N | Y (furosemide, vancomycin) |
6 | Male | 70 | 2/8 | 0.86 | 1.89 | 93 | 38 | 0.8/NA | 1.6/NA | Y (I) | Y (furosemide, vancomycin, NSAIDs, ACE inhibitor) |
7 | Male | 65 | 3/8 | 0.47 | 0.19 | 190 | 332 | 0.7/0.7 | 2.2/11.4 | N | Y (furosemide, NSAIDs) |
8 | Female | 63 | 3/8 | 0.53 | 1.02 | 122 | 58 | 0.9/0.9 | 5.9/11.7 | Y (I) | Y (amikacin) |
9 | Male | 84 | 4.5/12 | 0.6 | 0.7 | 136 | 114 | 1.4/1.4 | 4.6/19.8 | N | Y (furosemide, vancomycin) |
10 | Female | 86 | 2/8 | 0.68 | 0.59 | 116 | 103 | 1.3/1.3 | 2.7/9.6 | N | Y (furosemide) |
11 | Male | 66 | 2/12 | 1.47 | 1.52 | 51 | 49 | NA/0.7 | NA/9.0 | N | Y (furosemide) |
12 | Male | 37 | 2/8 | 0.4 | 0.48 | 257.3 | 208.5 | <0.2/<0.2 | NA | N | Y (NSAIDs) |
Initial and final CMS treatments. SCr, serum creatinine; eGFR, estimated glomerular filtration rate; AKI, acute kidney injury.
MDRD-4 equation.
NA, not available.
Y, yes; N, no; R, risk stage; I, injury stage.