Abstract

To the Editor .— We read with interest the article by Contopoulos-Ioannidis et al in the July 2004 issue of Pediatrics .1 We welcome this collation of pediatric data on the efficacy and safety of extended-interval aminoglycoside dosing (EIAD), given the lack of clear consensus about whether the existing evidence justifies a change in standard practice.2 This meta-analysis of the available evidence demonstrates that efficacy, and probably nephrotoxicity, is at least equivalent between EIAD and multiple daily-dosing regimens. More importantly, however, it identifies gaps in our knowledge about (1) the incidence of ototoxicity, (2) the appropriate dose …

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