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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant With History Of VUR, Vesicostomy Has Urinary Infection. Taking Amikacin Course. Is It Safe?

Hi this is Ram...Staying in Dubai now... My son is now 9 months old.... He had VUR from birth with reflux in right kidney.... Grade 5 in rightt & grade 4 in left.. Vesicostomy was done in Chennai (when he was 11 days old)... Now he has got urinary infection( E coli bacteria-ESBL).... Amikacin was already given for 5 days but the count has not come down except for the pus cells... Now our pediatrician has planned to give for 10 days to clear off the bacteria completely... Is it safe for 9 months old baby...? Pls advice
Wed, 5 Dec 2012
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Nephrologist,  's  Response
Hi

Thanks for the query.

In patients with VUR it is important to treat the infections appropriately to prevent damage to the kidneys in long term.

There is no antibiotic which is 100% safe. Thus amikacin also has its share of side effects which includes possible damage to the ears or the kidneys with long term use. These are not different in a child or an adult.

So your paediatrician is the best person to discuss the pros and cons and monitor for recovery as well as side effects.

Hope this helps.

Good luck.
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Infant With History Of VUR, Vesicostomy Has Urinary Infection. Taking Amikacin Course. Is It Safe?

Hi Thanks for the query. In patients with VUR it is important to treat the infections appropriately to prevent damage to the kidneys in long term. There is no antibiotic which is 100% safe. Thus amikacin also has its share of side effects which includes possible damage to the ears or the kidneys with long term use. These are not different in a child or an adult. So your paediatrician is the best person to discuss the pros and cons and monitor for recovery as well as side effects. Hope this helps. Good luck.