title: [Evaluation of the efficacy, tolerance and safety of Biotrakson use in patients with kidney failure].
abstract: Increased susceptibility to infection is observed in patients with chronic renal failure (CRF). Therefore, when antibiotic therapy is indicated, it is reasonable to use a drug which is usually reserved as a second-choice antibiotic in other patients. Antibiotic prevention before surgical procedures with a high risk of infection, especially before renal transplantation is also often necessary. Evaluation of Biotrakson (ceftriakson) (produced in Poland) efficacy in patients with CRF was the aim of this study. The antibiotic was administered in a single, complete prophylactic dose or once daily when given therapeutically in 25 patients: 13 with end-stage renal disease treated with hemodialysis, 5 with end-stage renal disease treated with peritoneal dialysis, 4 with chronic renal failure, 1 with acute renal failure treated with peritoneal dialysis, 2 after renal transplantation. The antibiotic was given for local and generalised bacterial infections in 10 patients; in 15 the drug was administered prophylactically before serious surgical procedures (including 10 patients before renal transplantation). Resolution of infection was observed in 9 out of 10 treated patients (90%). When the antibiotic was given prophylactically, its efficacy was assessed as good in 8 of 10 patients (80%) after renal transplantation and in 4 of 5 patients (80%) after other surgical procedures. There were no significant adverse side effects in any patient. Biotrakson is, therefore, an effective drug for therapeutic and preventive use in patients with renal failure.
authors.affiliation: Oddział Nefrologii, Dializoterapii i Transplantacji Nerek Centrum Zdrowia Dziecka w Warszawie.
authors.forename: J
authors.initials: J
authors.lastname: Rubik
authors.forename: R
authors.initials: R
authors.lastname: Grenda
authors.forename: D
authors.initials: D
authors.lastname: Dzierzanowska
mesh_terms: D000293:Adolescent; D000328:Adult; D001424:Bacterial Infections / Q000209:etiology / Q000517:prevention & control*; D002443:Ceftriaxone / Q000627:therapeutic use*; D002511:Cephalosporins / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000601:surgery; D016030:Kidney Transplantation; D010530:Peritoneal Dialysis; D011292:Premedication; D006435:Renal Dialysis
chemical_list: D002511:Cephalosporins; D002443:Ceftriaxone
vernacular_title: Ocena skuteczności, tolerancji i bezpieczeństwa stosowania Biotraksonu u chorych z niewydolnościa nerek.