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Question 1 Several days after starting antibiotic therapy for an acute kidney infection, a hospitalized elderly...

Question 1 Several days after starting antibiotic therapy for an acute kidney infection, a hospitalized elderly man develops an elevated serum creatinine concentration and elevated serum drug levels. Which of the folllowing drugs most likely caused the abnormal laboratory parameters? cefipime ciprofloxacin gentamicin or vancomycin?

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Answer #1

Vancomycin-Vancomycin is excreted by the kidney. In patients with normal kidney function, 90 % of vancomycin is excreted within 24 hours. The high concentration of vancomycin level precedes the elevation of serum creatinine level especially in patients with pre-existing kidney damage.

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