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Detection of amikacin nephrotoxicity with novel markers

Not Applicable
Conditions
sepsis.
Sepsis due to other Gram-negative organisms
A 41.5
Registration Number
IRCT2012091110817N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
40
Inclusion Criteria

age equal to or more than 65; serum creatinin equal to or less than 1.2 or estimated GFR equal to or more than 40 ml/min; sepsis with gram negative or unknown microorganism in geriatric patients addmited in ICU and need for an aminoglycoside and no history of aminoglycoside administration in the last 30 days. Exclusion criteria: age less than 65; aminoglycoside administration in the last 30 days; BMI more than 35; Allergy to aminoglycosides; amikacin administration less than 5 days; trouph levels more than 10 mcg/ml; need for amikacin dose adjustment during study period; neoplasm diagnisis with chemotherapy or radiotherapy history; viral hepatitis; moderate to severe renal failure considering normal decline in GFR with aging ( Scr more than 1.2); life expectancey less than 48 hours and APACHE II score more than 35.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Akutre kidney injury incidence. Timepoint: baseline and during drug administration on days: 3, 5 , 7, 10. Method of measurement: measurment of AKI biomarkers and serum creatinine.
Secondary Outcome Measures
NameTimeMethod
Survival after 28 days post intervention in two groups. Timepoint: 28 days after initiation of study. Method of measurement: report of survival or mortality on day 28.
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