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Hence, interventions promoting breastfeeding practices should be tailored instead of one-size-fits-all approach. To evaluate the incidence of aminoglycoside-related nephrotoxicity and ascertain drug causality and its risk factors. This prospective study was conducted from January, 2019 to January, 2021, and recruited 110 consecutively admitted children aged 1 month to 12 years, receiving aminoglycosides for ≥4 days. Drug causality was assessed using Liverpool adverse drug reaction causality assessment tool. 42 (38.2%) children developed