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World Journal of Biology Pharmacy and Health Sciences
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Piperacillin/tazobactam associated hypernatremia impacts on SARS-COV-2 infected patients

Authors: Alkhawaldeh, Ali Salem; Adwan, Neel Mohammad Al; Biadaa Khalil Deep Harb; Abuhjeeleh, Laith Ahmad; Alqatarneh, Ali Kathm Mohammad Ali;

Piperacillin/tazobactam associated hypernatremia impacts on SARS-COV-2 infected patients

Abstract

Objectives: The consequences of antibiotics-associated non-nutritional hypernatraemia may have a positive clinical impact on the mitigation of the COVID-19 related hyponatremia complications. This study aimed to explore the positive utility of Piperacillin/Tazobactam-associated sodium loading in COVID-19 patients. Methods: A retrospective study was conducted between Mar 2020 and Sep 2021. Eligible patients were stratified into two antibiotics-based cohorts; Non-Tazocin Cohort and Tazocin Cohort. One-Sample and Independent T-Tests and Chi-Square Test were conducted and the corrected sodium and its changes from baseline were run into the Receiver Operating Characteristics Tests followed by Sensitivity analysis. Results: The incidence of hyponatremia was significantly higher in Cohort I compared to Cohort II [378 (100.0%) vs 248 (61.5%), respectively, p-value=0.00]. The corrected sodium concentration was significantly lower in Cohort I compared to Cohort II [134.85±4.59 mEq/l vs 137.19±4.93 mEq/l, -2.34±0.34 mEq/l, p-value=0.00]. The mortality risk estimate for our institutional COVID-19 on PIP/TAZ vs Non-PIP/TAZ was 0.98 (95% CI; 0.74-1.29). 1.215 (95% CI; 0.85-1.73). Conclusion: Piperacillin/Tazobactam antibiotics administration in SARS-CoV-2 infected patients may have a non-antibiotic mortality benefit via its clinically significant propensity to mitigate the risk of hyponatremia-related negative clinical consequences, including mortality. This study investigated that it was optimally to keep averaged sodium concentrations above 133.85 mEq/l and to restrict dropping in sodium concentration by more than 1.95% from baseline.

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Piperacillin/Tazobactam; β-lactam antibiotics; Carbapenems; Antibiotic-associated hypernatremia; Severe COVID-19 infected patients

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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