Thrombocytopenia; Drugs
Conditions
Keywords
Linezolid, Thrombocytopenia
Brief summary
* To identify the incidence of LIT among critically ill patients, as limited studies have only addressed this population. * To evaluate the impact of several factors on the incidence of LIT, the time to onset of LIT, and the time to recovery of platelets. * To study the effect of concurrent medications (enoxaparin, unfractinated heparin, piperacillin, carbapenems, tigecycline, fluconazole or voriconazole, digoxin, amiodarone, acetaminophen, tirofiban, statins, and antiepileptics) frequently used in critically ill patients on the incidence of LIT. * To investigate the impact of possible medications with an antioxidant effect on the prevention of LIT. * To assess the impact of LIT on composite end point (mortality, bleeding, and length of stay)
Interventions
Linezolid 600mg injection
Sponsors
Study design
Eligibility
Inclusion criteria
* All adult patients, age \> or = 18 years old, admitted to the ICU with different indications. * candidates for intravenous linezolid therapy for \> or =1 day.
Exclusion criteria
* Taking any myelosuppressive drug. * Baseline platelets \< 50000. * Patients with hematological malignancy. * COVID-19 patients. * Patients with immune thrombocytopenia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Linezolid-induced thrombocytopenia (LIT) thrombocytopenia | One year | Defined as platelets \< 150000 OR decrease \> 50% of baseline platelets. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to the onset of LIT | One year | Defined as platelets \< 150000 OR decrease \> or = 50% of baseline platelets. |
| time to platelet recovery | One year | after having thrombocytopenia, regardless of discontinuation of linezolid, recovery is defined as the restoration and maintenance of platelet counts \> 70% of baseline values |
| Incidence of clinical outcomes | One year | Incidence of clinical outcomes (bleeding, mortality, length of stay, need for platelet or blood transfusion). |
Countries
Egypt