PROTECTION FROM GENTAMICIN NEPHROTOXICITY BY CEPHALOTHIN AND CARBENICILLIN

被引:33
作者
BLOCH, R [1 ]
LUFT, FC [1 ]
RANKIN, LI [1 ]
SLOAN, RS [1 ]
YUM, MN [1 ]
MAXWELL, DR [1 ]
机构
[1] INDIANA UNIV,MED CTR,DEPT PATHOL,INDIANAPOLIS,IN 46223
关键词
D O I
10.1128/AAC.15.1.46
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
In rats, cephalothin exerts a protective effect upon the nephrotoxicity of gentamicin. To examine the possibility that this effect is also observed with carbenicillin, we gave the following (milligrams per kilogram) to rats daily for 14 days: gentamicin alone, 60; gentamicin plus cephalothin, 100, 500, or 1,000; gentamicin plus carbenicillin, 50, 100, 250, 500, or 1,000. A 500 mg/kg dose of cephalothin afforded significant partial protection from gentamicin nephrotoxicity, as did a 100-mg/kg dose of carbenicillin. Increasing doses of either drug failed to increase protection. The data suggest that in rats not only does carbenicillin afford some protection from gentamicin nephrotoxicity, but also that it does so at a lower dose than cephalothin. These findings may in part explain the divergent observations regarding the nephrotoxicity of cephalothin-gentamicin combination therapy in rats and humans.
引用
收藏
页码:46 / 49
页数:4
相关论文
共 18 条
[1]  
BARZA M, 1977, CURR CHEMOTHER, V2, P964
[2]  
BRIER GL, 1975, 21 AM SOC CLIN PATH, P57
[3]   EFFECT OF CEPHALOTHIN ON RENAL CORTICAL CONCENTRATIONS OF GENTAMICIN IN RATS [J].
DELLINGER, P ;
MURPHY, T ;
BARZA, M ;
PINN, V ;
WEINSTEIN, L .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1976, 9 (04) :587-588
[4]   PROTECTIVE EFFECT OF CEPHALOTHIN AGAINST GENTAMICIN-INDUCED NEPHROTOXICITY IN RATS [J].
DELLINGER, P ;
MURPHY, T ;
PINN, V ;
BARZA, M ;
WEINSTEIN, L .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1976, 9 (01) :172-178
[5]   MAINTENANCE OF RENAL FUNCTION IN SALT LOADED RATS DESPITE SEVERE TUBULAR NECROSIS INDUCED BY HGCL2 [J].
DIBONA, GF ;
MCDONALD, FD ;
FLAMENBAUM, W ;
DAMMIN, GJ ;
OKEN, DE .
NEPHRON, 1971, 8 (03) :205-+
[6]   NEPHROTOXICITY OF NETILMICIN IN COMBINATION WITH NON-AMINOGLYCOSIDE ANTIBIOTICS [J].
HAGSTROM, GL ;
LUFT, FC ;
YUM, MN ;
SLOAN, RS ;
MAXWELL, DR .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1978, 13 (03) :490-493
[7]   GENTAMICIN NEPHROTOXICITY - FAILURE OF 3 CEPHALOSPORINS TO POTENTIATE INJURY IN RATS [J].
HARRISON, WO ;
SILVERBLATT, FJ ;
TURCK, M .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1975, 8 (02) :209-215
[8]  
HOUGHTON DC, 1976, AM J PATHOL, V82, P589
[9]   BINDING OF ANTIBIOTICS TO TISSUE HOMOGENATES [J].
KUNIN, CM .
JOURNAL OF INFECTIOUS DISEASES, 1970, 121 (01) :55-&
[10]   RECOVERY FROM AMINOGLYCOSIDE NEPHROTOXICITY WITH CONTINUED DRUG ADMINISTRATION [J].
LUFT, FC ;
RANKIN, LI ;
SLOAN, RS ;
YUM, MN .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1978, 14 (03) :284-287