Evidence map›Paper›PMID 42269076›Full record

Observational studyProceedings (Baylor University. Medical Center)2026

The impact of vancomycin and piperacillin-tazobactam combination therapy on the incidence of acute kidney injury: a retrospective review.

Daniel Cain, Simran Demla, Kristi Kway, Austin Graham, Ryan Hawkins, Maryam Naushab, Nicholas Shaffer, Samar Taqvi, Rick Myer, Nolan Toups and 10 more

Abstract readObservational Study
In one paragraph

Observational study in Proceedings (Baylor University. Medical Center), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

20 authors.

Daniel CainDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Simran DemlaDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.ORCID 0000-0002-1386-4057
Kristi KwayDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Austin GrahamDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Ryan HawkinsDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Maryam NaushabDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Nicholas ShafferDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Samar TaqviDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Rick MyerDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Nolan ToupsDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Theresa YargerDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Brittany BaskettDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Emily QuachDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Haley McKeeferDepartment of Inpatient Pharmacy, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Antoine NguyenDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Brian YoureeDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Vivek RamarathnamDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Diana MoiseDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Sandeep ShoriDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.
Shovendra GautamDepartment of Internal Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the last decade, there has been increased concern for nephrotoxicity and an association with acute kidney injury (AKI) in patients treated with vancomycin-piperacillin/tazobactam (VPT).

methodsThis single-center retrospective observational study evaluated the incidence of AKI between those receiving VPT therapy versus those receiving vancomycin-cefepime (VC), while also evaluating for possible confounding variables and the initiation of renal replacement therapy. The study included patients prescribed VPT or VC from January 1, 2019, to July 31, 2023, using the KDIGO AKI definition to determine if patients had AKI within 48 hours or 7 days of treatment.

resultsA total of 581 patients were identified in the VPT group and 1950 in the VC group. Each group had similar demographic makeup. The incidence of AKI in the VPT group was 30 patients (10.56%) at 48 hours, and 45 patients (15.85%) at 7 days. The incidence of AKI in the VC group was 24 patients (5.14%) at 48 hours and 27 (5.78%) at 7 days.

conclusionPatients in the VPT group had an increased incidence of AKI. Additionally, significantly more patients in the VPT group progressed to requiring renal replacement therapy compared to those treated with VC.

Indexed as

Acute Kidney InjuryAnti-Bacterial AgentsPiperacillin, Tazobactam Drug CombinationVancomycinAgedCefepimeDrug Therapy, CombinationFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesAnti-Bacterial AgentsCefepimePiperacillin, Tazobactam Drug CombinationVancomycinAcute kidney injurycefepimepiperacillin-tazobactamvancomycin

Identifiers

PMID42269076
PMCPMC13271304

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.