The safety of polymyxin antibiotics

T Kelesidis, ME Falagas - Expert opinion on drug safety, 2015 - Taylor & Francis
Introduction: The emergence of multidrug-resistant gram-negative bacteria has led to the
increasing use of polymyxins. Nephrotoxicity and, to a lesser degree, neurotoxicity occur …

[HTML][HTML] Clinical use of intravenous polymyxin B for the treatment of patients with multidrug-resistant Gram-negative bacterial infections: An evaluation of the current …

ME Falagas, M Kyriakidou, GL Voulgaris… - Journal of global …, 2021 - Elsevier
Introduction The epidemic dimensions of emergence of multi-drug resistant Gram-negative
bacterial infections have led to the revival of old antibiotics, including polymyxins. Methods …

Higher incidence of acute kidney injury with intravenous colistimethate sodium compared with polymyxin B in critically ill patients at a tertiary care medical center

DS Akajagbor, SL Wilson… - Clinical infectious …, 2013 - academic.oup.com
Nephrotoxicity was assessed in 173 critically ill patients receiving intravenous colistin or
polymyxin B; it occurred in 60.4% and 41.8%, respectively. Further investigation is …

Personalizing polymyxin B dosing using an adaptive feedback control algorithm

EA Lakota, CB Landersdorfer, RL Nation… - Antimicrobial agents …, 2018 - Am Soc Microbiol
Polymyxin B is used as an antibiotic of last resort for patients with multidrug-resistant Gram-
negative bacterial infections; however, it carries a significant risk of nephrotoxicity. Herein …

Risk factors for nephrotoxicity onset associated with polymyxin B therapy

Y Dubrovskaya, N Prasad, Y Lee… - Journal of …, 2015 - academic.oup.com
Objectives Polymyxin B is an active agent against many MDR Gram-negative bacteria, but
nephrotoxicity is a major hindrance to its widespread use. To guide its optimal use, we …

Risk factors for treatment failure of polymyxin B monotherapy for carbapenem-resistant Klebsiella pneumoniae infections

Y Dubrovskaya, TY Chen, MR Scipione… - Antimicrobial agents …, 2013 - Am Soc Microbiol
Polymyxins are reserved for salvage therapy of infections caused by carbapenem-resistant
Klebsiella pneumoniae (CRKP). Though synergy has been demonstrated for the …

Trough polymyxin B plasma concentration is an independent risk factor for its nephrotoxicity

L Han, FM Xu, XS Zhang, CH Zhang… - British Journal of …, 2022 - Wiley Online Library
Aims Data regarding clinical pharmacokinetic/toxicodynamic (PK/TD) of polymyxin B is short
of direct quantitative data. This study aims to investigate the risk factors of polymyxin B …

Does monitoring total and free polymyxin B1 plasma concentrations predict polymyxin B-induced nephrotoxicity? A retrospective study in critically ill patients

Y Deng, JY Gu, X Li, H Tong, SW Guo, B Xu… - Infectious Diseases and …, 2022 - Springer
Introduction The correlation between total and free polymyxin B (PMB including PMB1 and
PMB2) exposure in vivo and acute kidney injury (AKI) remains obscure. This study explores …

[HTML][HTML] Risk factors for polymyxin B-associated acute kidney injury

K Chang, H Wang, J Zhao, X Yang, B Wu, W Sun… - International Journal of …, 2022 - Elsevier
Objectives This study aimed to assess the current incidence and risk factors for polymyxin B-
associated acute kidney injury (AKI) in Chinese hospitals for a more effective clinical use for …

Nephrotoxicity associated with intravenous polymyxin B once-versus twice-daily dosing regimen

A Okoduwa, N Ahmed, Y Guo… - Antimicrobial agents …, 2018 - Am Soc Microbiol
Nephrotoxicity is a known adverse effect of polymyxin B (PMB). Animal data suggest that
once-daily dosing may reduce the rate and delay the onset of acute kidney injury (AKI). In a …