Unique ID issued by UMIN | UMIN000010759 |
---|---|
Receipt number | R000012578 |
Scientific Title | Study of adverse events in patients treated with linezolid and vancomycin (Retrospective study) |
Date of disclosure of the study information | 2013/05/21 |
Last modified on | 2013/05/19 22:45:21 |
Study of adverse events in patients treated with linezolid and vancomycin (Retrospective study)
Study of adverse events in patients treated with linezolid and vancomycin (Retrospective study)
Study of adverse events in patients treated with linezolid and vancomycin (Retrospective study)
Study of adverse events in patients treated with linezolid and vancomycin (Retrospective study)
Japan |
Bacterial infections
Not applicable |
Others
NO
To clarify the appropriate use of vancomycin or linezolid , relative to the renal dysfunction and thrombocytopenia
Safety
Occurrence rate of thrombocytopenia and renal dysfunction
Observational
18 | years-old | <= |
Not applicable |
Male and Female
Patients treated with parenteral vancomycin or linezolid.
Patients had a treatment duration of less than 3 days, were discharged during treatment, or had missing clinical data.
For the renal dysfunction aspect of the study, patients demonstrated end-stage renal failure or were undergoing hemodialysis.
For the thrombocytopenia aspect of the study, patients developed disseminated intravascular coagulation or received a transfusion.
300
1st name | |
Middle name | |
Last name | Atsushi Miyamoto |
Sapporo Medical University Hospital
Department of Hospital Pharmacy
South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan
1st name | |
Middle name | |
Last name | Satoshi Fujii |
Sapporo Medical University Hospital
Department of Hospital Pharmacy
fujii.satoshi@sapmed.ac.jp
Sapporo Medical University Hospital
None
Self funding
NO
2013 | Year | 05 | Month | 21 | Day |
Unpublished
Completed
2011 | Year | 12 | Month | 10 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 06 | Month | 30 | Day |
Renal dysfunction occurred significantly more frequently in patients in the vancomycin group (23.5%) than in the linezolid group (13.2%) (p = 0.032). The major risk factor was the vancomycin trough concentration, with significantly more renal dysfunction being observed in patients with trough concentrations over 18.0µg/mL (p < 0.001).
Thrombocytopenia occurred significantly more frequently in linezolid-treated patients (40.6%) than in vancomycin-treated patients (16.9%) (p < 0.001). Duration of linezolid treatment was identified as a major risk factor, with more thrombocytopenia being observed in patients undergoing treatment for over 7.5 days (p = 0.017).
2013 | Year | 05 | Month | 19 | Day |
2013 | Year | 05 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012578