Background: Antibiotics are one of the most commonly used groups of drugs worldwide. Besides their crucial role in the treatment of various infectious diseases, they may also cause adverse drug reactions.Aim of the study: In this narrative review, we aimed to present renal complications related to the use of different groups of antibiotics.Material and methods: The review was conducted by searching the PubMed and Google Scholar databases for articles published from 1981 to 2023. Original research articles, randomized controlled trials, case reports, and review articles were included in the study. The keywords used during the literature search included the following: antibiotics adverse drug reactions, nephrotoxicity and antibiotics, urinary tract complications and antibiotics, beta-lactams, penicillins, cephalosporins, carbapenems, sulphonamides, aminoglycosides, glycopeptides, and fluoroquinolones.Results: The results indicate various renal and urinary tract complications related to antibiotic use, and the severity of these complications may differ. Furthermore, different groups of antibiotics present different spectra of adverse drug reactions, and some side effects have been reported to be extremely rare. Urine crystallization, glomerular damage, and negative effects on the proximal and distal tubules were the most common adverse drug reactions related to the urinary tract. Acute kidney injury (AKI) was primarily observed during therapy with penicillins, cephalosporins, carbapenems, aminoglycosides, and glycopeptides.Conclusions: Based on the results of the reviewed studies, renal adverse drug reactions may be caused by the use of various groups of antibiotics, including beta-lactams, sulphonamides, peptide antibiotics, and fluoroquinolones.