HEMATOLOGICAL ADVERSE EVENTS ASSOCIATED WITH LINEZOLID USE IN CHILDREN AT VIETNAM NATIONAL CHILDREN’S HOSPITAL
##plugins.themes.vojs.article.main##
Abstract
Objectives: Describe the prevalence of linezolid-associated hematological adverse events at Vietnam National Children’s Hospital (VNCH) and their associated factors.
Methods: Retrospective. 163 under-18-year-old patients who used linezolid at VNCH from 06/2022 to 12/2022 were included. The association between hematological adverse events and patient and drug use factors was assessed.
Results: The prevalences of linezolid-related anemia, thrombocytopenia and neutropenia were 6.5%, 12.1% and 6.0% respectively. The onset time for the adverse events was 6 to10 days after linezolid initiation. Linezolid length of use (OR 1.073; p 0.023) and concomitant use of heparin (OR 8.684; p 0.005) were independently associated with linezolid-related thrombocytopenia. Linezolid length of use (OR 1.092; 0.023) and baseline neutrophil count (OR 0.742; p 0.005) were signifcantly associated with linezolid-related neutropenia
##plugins.themes.vojs.article.details##
Keywords
linezolid, thrombocytopenia, anemia, neutropenia
References
2. Kato H, Hagihara M, Asai N et al. Meta-analysis of vancomycin versus linezolid in pneumonia with proven methicillin-resistant Staphylococcus aureus. J Glob Antimicrob Resist 2021;24:98-105. https://doi.org/10.1016/j.jgar.2020.12.009
3. Pfzer. Tờ thông tin sản phẩm Zyvox. 2024.
4. Kato H, Hagihara M, Asai N et al. A systematic review and meta-analysis of myelosuppression in pediatric patients treated with linezolid for Gram-positive bacterial infections. J Infect Chemother 2021;27(8):1143-1150.
5. Shi Y, Wu HL, Wu YH et al. Safety and clinical efcacy of linezolid in children: a systematic review and meta-analysis. World J Pediatr 2023;19(2):129-138.https://doi.org/10.1007/s12519-022-00650-1
6. Khoa Dược. Báo cáo Sử dụng thuốc. Hà Nội: Bệnh viện Nhi Trung ương; 2022.
7. Huệ NT, Thảo NTP, Hằng BT. Sổ tay khoảng tham chiếu. Hà Nội: Bệnh viện Nhi Trung ương; 2023.
8. National Cancer Institute. Common Terminology Criteria for Adverse Events (CTCAE) v5.0.2017.
9. Centre Uppsala Monitoring. The use of the World Health Organization-Uppsala Monitoring Centre (WHO-UMC) system for standardised case causality assessment 2006 [Available from: https://cdn.who.int/media/docs/default-source/medicines/phar macovigilance/whocausality-assessment.pdf.
10. Brown NM, Goodman AL, Horner C et al. Treatment of methicillin-resistant taphylococcus aureus (MRSA): updated guidelines from the UK. JAC-Antimicrobial Resistance 2021;3(1):dlaa114. https://doi.org/10.1093/jacamr/dlaa114
11. Jones SJ, Nichols KR, DeYoung HL et al.Linezolid-Associated Thrombocytopenia in Children With Renal Impairment. J Pediatric Infect Dis Soc 2015;4(3):272-275.https://doi.org/10.1093/jpids/piu035