Polymyxin B-induced acute kidney injury in a burn patient: a case report and pharmaceutical care - Summary - MDSpire

Polymyxin B-induced acute kidney injury in a burn patient: a case report and pharmaceutical care

  • By

  • Shanshan Ding

  • May 7, 2026

  • 0 min

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Objective:

To report a case of acute kidney injury (AKI) associated with polymyxin B in a burn patient and discuss pharmaceutical management strategies, highlighting its implications for clinical practice.

Key Findings:
  • Polymyxin B can cause acute kidney injury, especially in burn patients, necessitating careful monitoring.
  • Dose adjustment based on renal function is crucial for patient safety and effective treatment.
  • Therapeutic drug monitoring is recommended to prevent nephrotoxicity and ensure optimal dosing.
Interpretation:

The case highlights the importance of vigilant monitoring and timely dose adjustments of polymyxin B in patients at risk of AKI, particularly those with extensive burns.

Limitations:
  • Single case study limits generalizability; findings may not apply to all burn patients.
  • Lack of long-term follow-up data on renal function post-treatment restricts understanding of long-term outcomes.
Conclusion:

Prompt renal function assessment and dosage modification are essential in managing polymyxin B therapy in burn patients to mitigate the risk of AKI.

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