Aminoglycoside-induced ototoxicity.

Abstract:

:One of the major side effects of aminoglycoside antibiotics (AG) is ototoxicity. The authors review the literature revealing many controversies on every aspect of this side-effect. Although epidemiological studies have to face the problem of reliable evaluation techniques, the incidence of cochleo- and vestibulotoxic side-effects has been estimated at 7.5% for each. Netilmicin appears to be less ototoxic. No definite risk factors can be proposed, although age, length of therapy, bacteremia, fever, liver and renal dysfunction are probably very important parameters. Most pathological changes at the cochlear level follow a clear spatial sequence, showing unspecific, degenerative lesions, involving every structure of the cochlea. This makes it impossible to draw etiopathological conclusions. Recent pharmacokinetic studies have rejected the 'accumulation theory' of AGs in perilymph, while also in endolymph no accumulation can be found. Only a few data are available on inner ear tissue levels. Among the different pharmacodynamic hypotheses on the action of AGs, binding of the drug to acidic glycosaminoglycans in the stria vascularis, and interference by the drug with phosphoinositide metabolism in the hair cells seem to be of major importance.

journal_name

Toxicol Lett

journal_title

Toxicology letters

authors

Govaerts PJ,Claes J,van de Heyning PH,Jorens PG,Marquet J,De Broe ME

doi

10.1016/0378-4274(90)90033-i

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

227-51

issue

3

eissn

0378-4274

issn

1879-3169

pii

0378-4274(90)90033-I

journal_volume

52

pub_type

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