The Trend of Cefepime-Induced Neurotoxicity: A Systematic Review

نویسندگان

چکیده

There has been increased use of cefepime due to concerns about the nephrotoxic effects combined vancomycin and Zosyn. However, is associated with neurotoxicity. We conducted a systematic review using online data explore trend cefepime-induced neurotoxicity over last 10 years. Forty-six articles met our inclusion criteria, including 73 cases noticed steady increase in reports neurotoxicity, from one case 2013 11 2022. Individuals aged 65 older accounted for most (52%). The top three indications administration included bone joint infections (25%), urinary tract (22.7%), pneumonia (22.7%). Most patients renal impairment have never had adjustment their dosage (either 2 g 12 hours day or eight day). occurred between days two five (n=29, 71%), while resolution 85%). While continues be popularly used effective antibiotic against gram-negative bacteria like Pseudomonas aeruginosa, its needs adjusted avoid

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Characterizing Cefepime Neurotoxicity: A Systematic Review

Neurotoxicity due to cefepime has not been well characterized. We performed a systematic review of the literature and included 5 additional cases from our center. Of the 198 cases found, the mean age was 67 years and 87% of patients had renal dysfunction. The most common clinical features were diminished level of consciousness (80%), disorientation/agitation (47%), and myoclonus (40%). It is wo...

متن کامل

Cefepime induced neurotoxicity: A case series and review of the literature

Cefepime is a fourth generation cephalosporin which is bactericidal for broad spectrum of organisms. This is a case-series of three patients who presented to our hospital with confusion secondary to cefepime use to treat urinary tract infection (UTI) and health care associated pneumonia (HCAP), after excluding other common etiologies of altered mental status (AMS). Of these three patients, one ...

متن کامل

Cefepime-induced neurotoxicity in a patient with coronary artery bypass

We present here a case of 58-year-old male operated for coronary artery bypass graft surgery with four grafts. He developed neurologic symptoms with injection cefepime which recovered after withdrawal of the drug.

متن کامل

Fluoroquinolone Induced Neurotoxicity: A Review

Introduction: Fluoroquinolones (FQs) are commonly used antibiotics both in inpatient and outpatient settings. Their therapeutic use ranges from the common respiratory, urinary tract and gastrointestinal infections to management of drug resistant tuberculosis and febrile neutropenia in immunocompromised patients. [1] Significant features of this group of antibiotics include their wide antibacter...

متن کامل

Cefepime Neurotoxicity in Patients with Renal Insufficiency

Cefepime is a fourth-generation cephalosporin that is active against both gram-positive and gram-negative organisms. It is administered parenterally for the treatment of severe infections. Approximately 85% of the drug is excreted unchanged by the kidneys. Neurotoxicity in patients with renal failure who are treated with cefepime has been reported sporadically. We report on two senile patients ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Cureus

سال: 2023

ISSN: ['2168-8184']

DOI: https://doi.org/10.7759/cureus.40980