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Description of Eosinophilic Pneumonia in BJI/PJI Treated by Daptomycin

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Civil Hospices of Lyon

Status

Unknown

Conditions

Bone and Joint Infection
Dactinomycin Adverse Reaction

Treatments

Other: Description of eosinophilic pneumonia due to daptomycine

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

Daptomycin is an antibiotic from the family of cyclic lipopeptides, bactericide, concentration-dependent. Its spectrum concerns Gram-positive bacteria.

Since the authorization of daptomycin in 2006, cases of eosinophilic pneumonia and pulmonary eosinophilia associated with its use have been reported in Europe and worldwide.

The purpose of this study is to describe the mechanism of occurrence of this AE with dapto; Prolonged exposure and accumulation at the alveolar level could potentially have a role. Better understanding the mechanisms of appearance of this AE would provide predictive elements making it possible to limit the occurrence of this AE in the future

Full description

Daptomycin is an antibiotic from the family of cyclic lipopeptides, bactericide, concentration-dependent. Its spectrum concerns Gram-positive bacteria.

The Infectious Diseases Society of America recommends the use of daptomycin 6 mg / kg / day in the second-line treatment of IOA on staphylococcal but also enterococcal prostheses, as an alternative to vancomycin and linezolid.

In case of renal failure, daptomycin is often considered as a good therapeutic alternative to glycopeptides.

Since the authorization of daptomycin in 2006, cases of eosinophilic pneumonia and pulmonary eosinophilia associated with its use have been reported in Europe and worldwide. Although a large proportion of cases have been reported in patients receiving daptomycin in unapproved indications, the use of daptomycin in authorized indications has also been associated with this risk.

The dosage of daptomycin makes it possible to evaluate its effectiveness and prevent the occurrence of a overdose, provider of side effects.

The purpose of this study is to describe the mechanism of occurrence of this AE with dapto; Prolonged exposure and accumulation at the alveolar level could potentially have a role. Better understanding the mechanisms of appearance of this AE would provide predictive elements making it possible to limit the occurrence of this AE in the future

Enrollment

20 estimated patients

Sex

All

Ages

15+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • patients having had an eosinophilic pneumonia under daptomycine given to treat an osteoarticular infection (BJI/PJI)

Exclusion criteria

Trial design

20 participants in 1 patient group

Eosinophilic pneumonia on daptomycin
Description:
patients having an osteoarticular infection treated with daptomycin and which developped eosinophilic pneumonia
Treatment:
Other: Description of eosinophilic pneumonia due to daptomycine

Trial contacts and locations

1

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Central trial contact

Eugénie Mabrut, CRA; Tristan Ferry, Md,PhD

Data sourced from clinicaltrials.gov

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