Please wait, while we are loading the content...
Please wait, while we are loading the content...
| Content Provider | frontiers |
|---|---|
| Author | Huo, Ben-Nian Wu, Yue-E. Shu, Ling Zhang, Ruo-Qi Xiao, Jian-Wen Li, Qian-Bo Zhao, Wei Jia, Yun-Tao Song, Lin |
| Abstract | Objectives: This study aimed to evaluate the association between LZD exposure and clinical safety and efficacy in Chinese paediatric patients. Methods: This retrospective cross-sectional study included patients ≤18 years old who received ≥3 days of LZD treatment between January 31, 2015, and December 31, 2020. Demographic characteristics, medication information, laboratory test information and bacterial culture results were collected from the Hospital Information System (HIS). Exposure was defined as AUC24 and calculated by nonlinear mixed-effects modeling program (NONMEM), version 7.2, based on two validated population pharmacokinetic models. Binary logistic regression analyses were performed to analyse the associations between AUC24 and laboratory adverse events, and receiver operating characteristic curves were used to calculate the cut-off values. Efficacy was evaluated by bacterial clearance. Results: A total of 413 paediatric patients were included, with an LZD median (interquartile range) dose, duration, clearance and AUC24 of 30.0 (28.1-31.6) mg/kg/day, 8 (4–15) days, 1.31 (1.29-1.32) L/h and 81.1 (60.6-108.7) mg/L∙h, respectively. Adverse events associated with TBil, AST, ALT, PLT, haemoglobin, WBC and neutrophil count increased during and after LZD treatment when compared with before medication (P<0.05), and the most common adverse events were thrombocytopaenia (71/399, 17.8%) and low haemoglobin (61/401, 15.2%) during LZD treatment. Patients with AUC24 higher than 120.69 mg/L∙h might be associated with low haemoglobin 1-7 days after the end of LZD treatment, and those with AUC24 higher than 92.88 mg/L∙h might be associated with thrombocytopaenia 8-15 days after the end of LZD treatment. A total of 136 patients underwent bacterial culture both before and after LZD treatment, and the infection was cleared in 92.6% (126/136) of patients, of whom 69.8% (88/126) had AUC24/MIC values greater than 80. Conclusions: Haematological indicators should be carefully monitored during LZD treatment, especially thrombocytopaenia and low haemoglobin, and a continuous period of monitoring after LZD withdrawal is also necessary. Since the AUC24 cut-off values for laboratory adverse events were relatively low, a trade-off is necessary between the level of drug exposure required for treatment and safety, and the exposure target (AUC24/MIC) in paediatric patients should be further studied, especially for patients with complications and concomitant medications. |
| ISSN | 16639812 |
| DOI | 10.3389/fphar.2022.926711 |
| Volume Number | 13 |
| Journal | Frontiers in Pharmacology |
| Language | English |
| Publisher Date | 2022-08-01 |
| Access Restriction | Open |
| Subject Keyword | Linezolid Safety Exposure Efficacy Paediatric |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pharmacology Pharmacology (medical) |
National Digital Library of India (NDLI) is a virtual repository of learning resources which is not just a repository with search/browse facilities but provides a host of services for the learner community. It is sponsored and mentored by Ministry of Education, Government of India, through its National Mission on Education through Information and Communication Technology (NMEICT). Filtered and federated searching is employed to facilitate focused searching so that learners can find the right resource with least effort and in minimum time. NDLI provides user group-specific services such as Examination Preparatory for School and College students and job aspirants. Services for Researchers and general learners are also provided. NDLI is designed to hold content of any language and provides interface support for 10 most widely used Indian languages. It is built to provide support for all academic levels including researchers and life-long learners, all disciplines, all popular forms of access devices and differently-abled learners. It is designed to enable people to learn and prepare from best practices from all over the world and to facilitate researchers to perform inter-linked exploration from multiple sources. It is developed, operated and maintained from Indian Institute of Technology Kharagpur.
Learn more about this project from here.
NDLI is a conglomeration of freely available or institutionally contributed or donated or publisher managed contents. Almost all these contents are hosted and accessed from respective sources. The responsibility for authenticity, relevance, completeness, accuracy, reliability and suitability of these contents rests with the respective organization and NDLI has no responsibility or liability for these. Every effort is made to keep the NDLI portal up and running smoothly unless there are some unavoidable technical issues.
Ministry of Education, through its National Mission on Education through Information and Communication Technology (NMEICT), has sponsored and funded the National Digital Library of India (NDLI) project.
| Sl. | Authority | Responsibilities | Communication Details |
|---|---|---|---|
| 1 | Ministry of Education (GoI), Department of Higher Education |
Sanctioning Authority | https://www.education.gov.in/ict-initiatives |
| 2 | Indian Institute of Technology Kharagpur | Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project | https://www.iitkgp.ac.in |
| 3 | National Digital Library of India Office, Indian Institute of Technology Kharagpur | The administrative and infrastructural headquarters of the project | Dr. B. Sutradhar bsutra@ndl.gov.in |
| 4 | Project PI / Joint PI | Principal Investigator and Joint Principal Investigators of the project |
Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon |
| 5 | Website/Portal (Helpdesk) | Queries regarding NDLI and its services | support@ndl.gov.in |
| 6 | Contents and Copyright Issues | Queries related to content curation and copyright issues | content@ndl.gov.in |
| 7 | National Digital Library of India Club (NDLI Club) | Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach | clubsupport@ndl.gov.in |
| 8 | Digital Preservation Centre (DPC) | Assistance with digitizing and archiving copyright-free printed books | dpc@ndl.gov.in |
| 9 | IDR Setup or Support | Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops | idr@ndl.gov.in |
|
Loading...
|