Evidence map›Paper›PMID 39114495›Full record

ReviewClinical kidney journal2024

Drugs with a negative impact on cognitive functions (part 3): antibacterial agents in patients with chronic kidney disease.

Sophie Liabeuf, Gaye Hafez, Vesna Pešić, Goce Spasovski, Mickaël Bobot, Romaldas Mačiulaitis, Inga Arune Bumblyte, Ana Carina Ferreira, Ana Farinha, Jolanta Malyszko and 6 more

Abstract readReview
In one paragraph

Review in Clinical kidney journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Antiparasitic Activity ofVeterinary sciences · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. 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

16 authors.

Sophie LiabeufPharmacoepidemiology Unit, Department of Clinical Pharmacology, Amiens University Medical Center, Amiens, France.ORCID https://orcid.org/0000-0001-5384-9006
Gaye HafezDepartment of Pharmacology, Faculty of Pharmacy, Altinbas University, Istanbul, Turkey.
Vesna PešićFaculty of Pharmacy, University of Belgrade, Belgrade, Serbia.
Goce SpasovskiDepartment of Nephrology, Clinical Centre "Mother Theresa", Saints Cyril and Methodius University, Skopje, North Macedonia.ORCID https://orcid.org/0000-0001-5628-2500
Mickaël BobotAix-Marseille University, Department of Nephrology, AP-HM, La Conception Hospital, Marseille, France; C2VN Laboratory, Inserm 1263, INRAE 1260, Aix-Marseille University, Marseille, France.ORCID https://orcid.org/0000-0002-9451-0372
Romaldas MačiulaitisDepartment of Nephrology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Inga Arune BumblyteDepartment of Nephrology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Ana Carina FerreiraNephrology Department, Centro Hospitalar e Universitário de Lisboa Central, Lisbon, Portugal.ORCID https://orcid.org/0000-0002-1323-5293
Ana FarinhaDepartment of Nephrology, Hospital de Vila Franca de Xira, Lisbon, Portugal.
Jolanta MalyszkoDepartment of Nephrology, Dialysis and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
Marion PépinDepartment of Geriatrics, Ambroise Paré University Medical Center, APHP, Boulogne-Billancourt, France.ORCID https://orcid.org/0000-0002-3064-2480
Ziad A MassyParis-Saclay University, UVSQ, Inserm, Clinical Epidemiology Team, Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Villejuif, France.ORCID https://orcid.org/0000-0001-5771-5996
Robert UnwinDepartment of Renal Medicine, Royal Free Hospital, University College London, London, UK.ORCID https://orcid.org/0000-0001-7839-6031
Giovambattista CapassoDepartment of Translantional Medical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID https://orcid.org/0000-0003-3469-8614
Laila-Yasmin ManiDepartment of Nephrology and Hypertension, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-4693-7814
CONNECT Action (Cognitive Decline in Nephro-Neurology European Cooperative Target)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relationship between chronic kidney disease (CKD) and cognitive function has received increased attention in recent years. Antibacterial agents (ABs) represent a critical component of therapy regimens in patients with CKD due to increased susceptibility to infections. Following our reviewing work on the neurocognitive impact of long-term medications in patients with CKD, we propose to focus on AB-induced direct and indirect consequences on cognitive function. Patients with CKD are predisposed to adverse drug reactions (ADRs) due to altered drug pharmacokinetics, glomerular filtration decline, and the potential disruption of the blood-brain barrier. ABs have been identified as a major cause of ADRs in vulnerable patient populations. This review examines the direct neurotoxic effects of AB classes (e.g. beta-lactams, fluoroquinolones, aminoglycosides, and metronidazole) on the central nervous system (CNS) in patients with CKD. We will mainly focus on the acute effects on the CNS associated with AB since they are the most extensively studied effects in CKD patients. Moreover, the review describes the modulation of the gut microbiota by ABs, potentially influencing CNS symptoms. The intricate brain-gut-kidney axis emerges as a pivotal focus, revealing the interplay between microbiota alterations induced by ABs and CNS manifestations in patients with CKD. The prevalence of antibiotic-associated encephalopathy in patients with CKD undergoing intravenous AB therapy supports the use of therapeutic drug monitoring for ABs to reduce the number and seriousness of ADRs in this patient population. In conclusion, elucidating AB-induced cognitive effects in patients with CKD demands a comprehensive understanding and tailored therapeutic strategies that account for altered pharmacokinetics and the brain-gut-kidney axis.

Indexed as

adverse drug reactionsantibacterial agentschronic kidney diseasecognitive impairmentdrugs

Identifiers

PMID39114495
PMCPMC11304602

What OpenQuestion holds

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Registered trials

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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.