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利奈唑胺致血小板减少的回顾性研究 被引量:24

Linezolid-induced thrombocytopenia : a retrospective cohort study
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摘要 目的探讨利奈唑胺对血小板的影响。方法以万古霉素为对照,采用回顾性队列研究方法,收集我院2009年1月至2012年4月住院感染患者215例,其中,利奈唑胺组(观察组)102例,万古霉素组(对照组)113例。比较2组治疗前后血小板减少的发生率。结果观察组和对照组的血小板发生率分别为40.2%和8.0%;利奈唑胺组发生血小板减少的相对危险度较高[RR=6.30,95%CI(2.69~14.77),P<0.01]。结论利奈唑胺致血小板减少的发生率显著高于万古霉素,临床使用利奈唑胺时应密切监测血小板变化。 Objective To investigate the effects of linezolid on platelet and provide referrenee for clinical pharmaceutical care. Methods A retrospective cohort study was conducted compared with vancomycin. The datas of 215 inpatients with infectious diseases from January 2009 to April 2012 were collected and divided into two groups,linezolid group (102 cases) and vaneomycin group ( 113 cases). The incidences of thrombocytopenia were analyzed. Results The incidence of thrombocytopenia in the linezolid group and vancomycin group was 40. 2% and 8.0% respectively. The relative risk (RR) of thrombocytopenia in the exposed group was 6.30(95% CI =2.69 - 14. 77). The differences between the two groups were statistically significant (P〈 0. 01 ). Conclusion The incidence of thromboeytopenia related to linezolid is higher than that of vancomycin. It is necessary to monitor the platelet in patients treated with linezolid.
出处 《中国临床药理学杂志》 CAS CSCD 北大核心 2013年第1期68-69,72,共3页 The Chinese Journal of Clinical Pharmacology
关键词 利奈唑胺 万古霉素 成年人 血小板减少 linezolid vancomycin adults thrombocytopenia
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参考文献5

  • 1陈新谦;金有豫;汤光.新编药物学[M]北京:人民卫生出版社,2011105.
  • 2Kalil AC,Murthy MH,Hermsen ED. Linezolid versus vancomycin or teicoplanin for nosocomial pneumonia:A systematic review and meta-analysis[J].Critical Care Medicine,2010,(9):1802-1808.
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  • 4郭代红,王丽,陈超,刘皈阳,曹秀堂,蔡芸,王睿.410例住院患者的利奈唑胺用药评估及影响因素分析[J].中国药物应用与监测,2011,8(2):69-74. 被引量:41
  • 5Bernstein WB,Trotta RF,Rector JT. Mechanisms for linezolid-induced anemia and thrombocytopenia[J].Annals of Pharmacotherapy,2003.517-520.

二级参考文献25

  • 1周颖杰.利奈唑胺治疗严重感染建议在治疗复杂患者时监测不良反应[J].中国感染与化疗杂志,2006,6(5):345-345. 被引量:17
  • 2C. R. Rayner,L. M. Baddour,M. C. Birmingham,C. Norden,A. K. Meagher,J. J. Schentag.Linezolid in the Treatment of Osteomyelitis: Results of Compassionate Use Experience[J]. Infection . 2004 (1)
  • 3Wang H,Liu Y,Sun H,et al.In vitro activity of ceftobiprole,linezolid,tigecycline,and 23 other antimicrobial agents againstStaphylococcus aureus isolates in China. Diagnostic Microbiology and Infectious Disease . 2008
  • 4Birmingham MC,Rayner CR,Meagher AK,et al.Linezolid forthe treatment of multidrug-resistant,grampositive infections:experience from a compassionate-use program. Clinical Infectious Diseases . 2003
  • 5Grau S,Morales-Molina JA,Mateu-de Antonio J,et al.Linezolid:low pre-treatment platelet values could increase the risk ofthrombocytopenia. Journal of Antimicrobial Chemotherapy . 2005
  • 6Wang G,Hindler JF,Ward KW,et al.Increased vancomycin MICs forStaphylococcus aureusclinical isolates from a uni-versity hospital during a5-year period. Journal of Clinical Microbiology . 2006
  • 7Wunderink RG,Rello J,Cammarata SK, et al.Linezolid vsVancomycin: Analysis of Two Double-Blind Studies of Patients With Methicillin-Resistant Staphylococcus aureus Nosocomial Pneumonia. Chest . 2003
  • 8Aneziokoro,CO,Cannon,JP,Pachucki,CT,Lentino,JR.The effectiveness and safety of oral linezolid for the primary and secondary treatment of osteomyelitis. Journal of Chemotherapy . 2005
  • 9Yen-Hung Lin,Vin-Cent Wu,I-Jung Tsaiet al.High frequency of linezolid-associated thrombocytopenia among patients with renal insufficiency. International Journal of Antimicrobial Agents . 2006
  • 10Bernstein,W.B.,Trotta,R.F.,Rector,J.T.,Tjaden,J.A.,Barile,A.J.Mechanisms for linezolid-induced anemia and thrombocytopenia. The Annals of PharmacoTherapy . 2003

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