Guest guest Posted April 9, 2009 Report Share Posted April 9, 2009 As many of you know, I have permanent vestibular loss due to the gentamicin that was used to combat a life threatening nosocomial infection after an ERCP. That means that the " hair cells " in my ears were damaged and I have lost some hearing and my sense of balance. While vancomycin is not an aminoglycoside like " gent " there have been some reports of ototoxicity attributed to vancomycin. The reports may be valid or flawed, but I think that you should be aware of potential damage and react quickly if anyone taking vancomycin shows signs of hearing loss, loss of balance or tinnitus. The issue is somewhat clouded in that, very often in emergency situations, several drugs are used simultaneously. In my case, I was on long term IV " gent " so we are sure that it was the culprit. Penny Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2009 Report Share Posted April 9, 2009 I'd like to make an important point about the vancomycin studies conducted at Stanford with pediatric patients, and in the Boston, MA area with adult patients. These studies are with oral vancomycin, not with intravenous vancomycin. The oral vancomycin is not absorbed from the gut, and so is only affecting bacteria in the gastrointestinal tract. Vancomycin is a very large molecule, and is not absorbed orally (the molecule is too big to be transported across the gut membranes): http://en.wikipedia.org/wiki/Vancomycin Dave (father of (23); PSC 07/03; UC 08/03) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2009 Report Share Posted April 9, 2009 I'd like to make an important point about the vancomycin studies conducted at Stanford with pediatric patients, and in the Boston, MA area with adult patients. These studies are with oral vancomycin, not with intravenous vancomycin. The oral vancomycin is not absorbed from the gut, and so is only affecting bacteria in the gastrointestinal tract. Vancomycin is a very large molecule, and is not absorbed orally (the molecule is too big to be transported across the gut membranes): http://en.wikipedia.org/wiki/Vancomycin Dave (father of (23); PSC 07/03; UC 08/03) Quote Link to comment Share on other sites More sharing options...
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