Serum cystatin C as a better marker of vancomycin clearance than serum creatinine in elderly patients.

Abstract:

OBJECTIVES:The purpose of this study is to assess the usefulness of the concentration of cystatin C (Cys-C) in serum for predicting the clearance of vancomycin (CLvcm) compared with the serum concentration of creatinine (SCr) in the elderly. METHODS:Thirty-nine serum samples were obtained from 24 elderly patients (65 years and older). Creatinine clearance (CLcr) and the glomerular filtration rate calculated from the concentration of Cys-C (GFRcys-c) were estimated using Cockcroft & Gault's formula and Larsson's formula, respectively. RESULTS:The correlation constant for CLvcm and the reciprocal of Cys-C (p=0.883) was significantly higher than that for CLvcm and the reciprocal of SCr (p=0.575, p<0.005). GFRcys-c was strongly correlated with CLvcm (p=0.883) and the constant was significantly higher than that for the correlation between CLvcm and CLcr (p=0.684, p<0.05). These results suggest that the serum concentration of Cys-C is a more reliable marker for predicting CLvcm than is SCr in elderly patients.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Okamoto G,Sakamoto T,Kimura M,Ukishima Y,Sonoda A,Mori N,Kato Y,Maeda T,Kagawa Y

doi

10.1016/j.clinbiochem.2007.01.008

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

485-90

issue

7

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(07)00060-4

journal_volume

40

pub_type

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