Beta-lactam-induced severe neutropaenia: a descriptive study.


Journal

Fundamental & clinical pharmacology
ISSN: 1472-8206
Titre abrégé: Fundam Clin Pharmacol
Pays: England
ID NLM: 8710411

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 12 07 2018
revised: 19 09 2018
accepted: 01 10 2018
pubmed: 6 10 2018
medline: 27 6 2019
entrez: 6 10 2018
Statut: ppublish

Résumé

The objectives of this study were to describe the characteristics and natural history of beta-lactam-induced severe neutropaenia and to evaluate the risk of recurrences after another beta-lactam readministration. Reports of pure agranulocytosis associated with a beta-lactam exposure within the 10 days preceding the neutropaenia were extracted from the French Pharmacovigilance Database over the year 2010. Cases with another evident cause or more likely attributable to another drug were excluded. Data were analyzed for demographics, clinical and biological features, prognosis factors, granulocyte colony stimulating factors administration and outcome. Sixty-two cases were included (median age: 65 years). The median duration of treatment before neutropaenia was 16 days. In 47% of cases, the diagnosis was made on a systematic blood cell count. The median neutrophil count at nadir was 0.125 × 10

Identifiants

pubmed: 30289173
doi: 10.1111/fcp.12419
doi:

Substances chimiques

Anti-Bacterial Agents 0
beta-Lactams 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

225-231

Informations de copyright

© 2018 Société Française de Pharmacologie et de Thérapeutique.

Auteurs

Thierry Vial (T)

Centre Régional de Pharmacovigilance, Hospices Civils de Lyon, Service Hospitalo-Universitaire de Pharmacotoxicologie, 162 avenue Lacassagne, Lyon, 69424, France.

Henry Bailly (H)

Centre Régional de Pharmacovigilance, Hospices Civils de Lyon, Service Hospitalo-Universitaire de Pharmacotoxicologie, 162 avenue Lacassagne, Lyon, 69424, France.

Marie-Christine Perault-Pochat (MC)

Centre Régional de Pharmacovigilance, Centre Hospitalier Régional et Universitaire, 86021, Poitiers Cedex, France.

Anne Default (A)

Centre Régional de Pharmacovigilance Marseille - Provence - Corse, Hôpital Sainte-Marguerite AP-HM, 270 boulevard de Saint-Marguerite, 13274, Marseille Cedex 9, France.

Charlène Boulay (C)

Centre Régional de Pharmacovigilance, Institut de Biologie Clinique, Hôpital Charles Nicolle, CHU de Rouen, 76031, Rouen cedex, France.

Laurent Chouchana (L)

Centre Régional de Pharmacovigilance, Hôpitaux Universitaires Paris Centre, Site Hôpital Cochin, 27 rue du faubourg Saint Jacques, 75014, Paris, France.

Behrouz Kassai (B)

Centre Régional de Pharmacovigilance, Hospices Civils de Lyon, Service Hospitalo-Universitaire de Pharmacotoxicologie, 162 avenue Lacassagne, Lyon, 69424, France.

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Classifications MeSH