Néphrotoxicité de la vancomycine: fréquence et mécanismes
Vancomycin, discovered in 1953 and widely used today, has a nephrotoxic potential that
has long been debated. The frequency of renal involvement is variable and can range from
5% to 30% depending concomitant risk factors: overdose, chronic kidney disease, obesity,
hypovolemia, and use of other nephrotoxic drugs as aminoglycosides. Its association with
piperacillin–tazobactam also appears to increase the risk of nephrotoxicity. This hypothesis
should be confirmed experimentally. Vancomycin-induced oxidative stress in tubular cells …
has long been debated. The frequency of renal involvement is variable and can range from
5% to 30% depending concomitant risk factors: overdose, chronic kidney disease, obesity,
hypovolemia, and use of other nephrotoxic drugs as aminoglycosides. Its association with
piperacillin–tazobactam also appears to increase the risk of nephrotoxicity. This hypothesis
should be confirmed experimentally. Vancomycin-induced oxidative stress in tubular cells …
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