Evidence map›Paper›PMID 37833622›Full record

Observational studyBMC nephrology2023

Nephrotoxicity caused by colistin use in ICU: a single centre experience.

Isa Kilic, Yavuz Ayar, İlkay Ceylan, Pınar Kucukdemirci Kaya, Gulbahar Caliskan

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06650384 (Evaluation of the Efficacy and Safety of N-Acetylcysteine Versus Alpha-Lipoic Acid on the Occurrence and Severity of Colistin-Induced Nephrotoxicity in Critically Ill Patients), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06650384 phase2 / phase3completednot on this mapstarted 2024, after this paper: background citation

Evaluation of the Efficacy and Safety of N-Acetylcysteine Versus Alpha-Lipoic Acid on the Occurrence and Severity of Colistin-Induced Nephrotoxicity in Critically Ill Patients

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2026Enrolled180ConditionsNephrotoxicityArmsAddition of sachets of N-acetyl cysteine 1200 mg twice/day to the maintenance dose of colistin, Addition of Alpha-lipoic acid 600mg twice daily to the maintenance dose of colistin
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Co-existence of plasmid-mediatedMicrobiology spectrum · 2025
    Article
  8. Article
  9. Article
  10. Colistin: Lights and Shadows of an Older Antibiotic.Molecules (Basel, Switzerland) · 2024
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Isa KilicDepartment of Anesthesiology and Intensive Care, Ministry of Health, Bursa City Hospital , Bursa, Turkey. kilicisaicu@gmail.com.
Yavuz AyarDepartment of Nephrology and Internal Medicine, Health Sciences University, Bursa City Hospital, Bursa, Turkey.
İlkay CeylanDepartment of Anesthesiology and Intensive Care, Ministry of Health, Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Pınar Kucukdemirci KayaDepartment of Anesthesiology and Intensive Care, Bursa Uludag University, Faculty of Medicine, Bursa, Turkey.
Gulbahar CaliskanDepartment of Anesthesiology and Intensive Care, Ministry of Health, Bursa City Hospital , Bursa, Turkey.
Ministry of Health · TRBursa Uludağ Üni̇versi̇tesi̇ · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to determine the risk factors that may be associated with colistin-induced acute kidney injury (AKI) to promote the safer use of colistin in the treatment of nosocomial infections caused by multidrug-resistant Gram-negative bacteria in intensive care units. MATERIALS AND

methodsThis retrospective observational study was conducted among adult patients who received a minimum of 48 h of intravenous colistin from January 2020 to December 2020 at the intensive care unit of a tertiary care hospital. AKI diagnosis and staging were made based on the Kidney Disease Improving Global Outcome Criteria.

resultsOf 148 patients who received intravenous colistin at a daily dose of 9 million IU, 54 (36%) developed AKI. In the univariate analysis, age, Charlson comorbidity index, APACHE II score, duration of colistin treatment, basal creatinine level, use of vasopressors, and vancomycin were significantly associated with AKI (p < 0.05). The multivariate analysis revealed that the independent predictor of AKI was the use of vasopressors (OR: 3.14; 95% confidence interval: 1.39-97.07; p = 0.06).

conclusionThe use of vasopressors in critically ill patients was independently associated with AKI developing during colistin treatment.

Indexed as

Acute Kidney InjuryColistinAdultAnti-Bacterial AgentsCritical IllnessHumansIntensive Care UnitsRetrospective StudiesRisk FactorsVancomycinAnti-Bacterial AgentsColistinVancomycinAcute kidney injuryColistinIntensive care unitVasopressor

Identifiers

PMID37833622
PMCPMC10576281
OpenAlexW4387613202

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.