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Akut Böbrek Yetmezliği Nedeni ile Akut Periton Diyalizi Uygulanan bir Çocuk Olguda Vankomisin Doz Aşımında Polisülfon Membran ile Hemodiyaliz

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Hemodialysis with Polysulfone Membrane for Vancomycin Overdose in a Child with Acute Renal Failure Already on Acute Peritoneal Dialysis

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Sayfa Aralığı:: 
134-136

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Abstract (Original Language): 
Majör bir kardiyak operasyonu takiben akut böbrek yetmezliği gelişen ve kaza ile alması gerekenin 4 katı dozunda vankomisin alan 26 aylık kız hastaya, vankomisin dozunda hata olduğu ve serum vankomisin düzeyleri yüksek tespit edildiği sırada periton diyalizi uygulanmakta idi. Hasta için uygun venovenöz hemodiyafi ltrasyon fi ltresi ya da yüksek akımlı membran temin edilemedi, ancak konvansiyonel polisülfon membran ile yapılan diyalizden fayda gördü. Hasta, daha önce düşünülenin aksine, vankomisin doz aşımında sayılan uygun tedavi yöntemlerine ulaşılamadığında konvansiyonel membran ile de iyi sonuç alınabileceğini vurgulamak amacı ile sunulmuştur
Abstract (2. Language): 
A 26-month-old girl who had acute renal failure after a major cardiac operation received an accidental 4-fold vancomycin dose. She was already on peritoneal dialysis when the error in vancomycin dose and high serum vancomycin levels were fi rst noticed. Optimal venovenous hemodiafi ltration fi lter or highfl ux membrane could not be provided for her, but she benefi ted from hemodialysis with a conventional polysulfone membrane. We presented this case to emphasize that conventional hemodialysis may be benefi cial for vancomycin overdose when optimal treatment modalities cannot be attained, contrary to what has been thought before,.

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DOI: 
doi: 10.5262/tndt.2010.1002.71

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