Tigecycline treatment causes a decrease in peripheral blood platelet

J Chemother. 2023 Oct;35(6):491-495. doi: 10.1080/1120009X.2022.2153315. Epub 2022 Dec 6.

Abstract

Tigecycline with broad-spectrum activity against pathogens has advantages in the treatment of severe infections in clinical. Accompany with the huge increase of tigecycline usage, more side effects began to arouse people's attention. The aim of this study was to assess the impact of tigecycline treatment on peripheral blood platelet in patients with severe infections. We retrospectively retrieved demographic and laboratory data in 24 cases of tigecycline-treated patients with severe infections. 18 patients (75%) who were administered tigecycline experienced a decrease in platelet count. The ages of platelet decrease group are significant older than normal group. In the platelet decreased group, the platelet count was significant decreased after 3 days tigecycline treatment. 9 patients' platelet count recovered in 5 days after tigecycline treatment withdraw. Platelet decrease in patient after tigecycline treatment, which can be reversed after tigecycline discontinuation. Tigecycline-induced platelet decrease is associated with age.

Keywords: Tigecycline; antibiotics; blood platelet; elderly; inflammation indexes; risk factors.

MeSH terms

  • Anti-Bacterial Agents* / adverse effects
  • Bacterial Infections* / drug therapy
  • Blood Platelets
  • Humans
  • Minocycline / adverse effects
  • Retrospective Studies
  • Tigecycline / therapeutic use

Substances

  • Tigecycline
  • Anti-Bacterial Agents
  • Minocycline