Kalantari Zahra, Yousefichaijan Parsa, Kahbazi Manijeh, Shabestari Ali Arjmand
Department of Pediatrics, Arak University of Medical Sciences, Arak, Iran.
J Family Med Prim Care. 2019 May;8(5):1558-1561. doi: 10.4103/jfmpc.jfmpc_33_19.
Cefotaxime is one of the third generation cephalosporins, which is used against many infections. This drug has a urinary excretion and potentially may have nephrotoxic effects. Hypercalciuria can cause important complications, including the formation of kidney stones. In the recent study, we decided to evaluate hypercalciuria in children receiving cefotaxime.
This case-control study was conducted in Amirkabir hospital (Arak, Iran), where 30 children received intravenous cefotaxime were placed in the case group and 30 children without intravenous administration of cefotaxime were included in the control group. The ratio of calcium to creatinine was measured in both groups. Data were analyzed by SPSS software version 23.
This study showed that the ratios of male and female children in both the groups were 19 (63.3%) and 11 (36.7%) respectively, the mean age of children in the case group was 2.36 years with a standard deviation of 0.71 and the mean age of the children in the control group was 5.18 years with a standard deviation of 3.31. The ratios of urine calcium to creatinine in the case and control groups were 0.90 with a standard deviation of 1.79 and 0.37 with a standard deviation of 0.44 ( value = 0.003).
According to the above results, it is concluded that receiving intravenous cefotaxime may increase calcium to creatinine ratio in children.
头孢噻肟是第三代头孢菌素之一,用于治疗多种感染。该药物经尿液排泄,可能具有肾毒性作用。高钙尿症可引发重要并发症,包括肾结石的形成。在最近的研究中,我们决定评估接受头孢噻肟治疗的儿童的高钙尿症情况。
本病例对照研究在伊朗阿拉克的阿米尔卡比尔医院进行,将30名接受静脉注射头孢噻肟的儿童纳入病例组,30名未接受静脉注射头孢噻肟的儿童纳入对照组。测量两组的钙肌酐比值。数据采用SPSS 23版软件进行分析。
本研究表明,两组中男童和女童的比例分别为19名(63.3%)和11名(36.7%),病例组儿童的平均年龄为2.36岁,标准差为0.71,对照组儿童的平均年龄为5.18岁,标准差为3.31。病例组和对照组的尿钙肌酐比值分别为0.90,标准差为1.79和0.37,标准差为0.44(P值 = 0.003)。
根据上述结果,得出结论:接受静脉注射头孢噻肟可能会增加儿童的钙肌酐比值。