Efficacy and Safety of Contezolid as an Alternative to Linezolid for Treating MRSA Spinal Infections Following Linezolid-Induced Thrombocytopenia: A Single-Center Retrospective Study

/L. Following transition to CZD (mean duration 66.6 ± 51.2 days; range 28-168), all patients achieved clinical success with no further platelet reduction. Platelet recovery to baseline or normal levels occurred within a mean of 8.25 ± 3.4 days (range 4-14). Three patients experienced gastrointestinal adverse events (nausea and vomiting), predominantly after the first dose. Our findings suggest that CZD may represent an effective and safe salvage therapy for patients with MRSA-SI who develop LZD-induced thrombocytopenia. Larger prospective studies are warranted to validate these preliminary findings.

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Publication Details

Journal
Infection and Drug Resistance
Published
2026-04-01
DOI
https://doi.org/10.2147/idr.s574823
Primary Topic
Antimicrobial Resistance in Staphylococcus
Type
article
Field-Weighted Citation Impact
0.00
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article

Efficacy and Safety of Contezolid as an Alternative to Linezolid for Treating MRSA Spinal Infections Following Linezolid-Induced Thrombocytopenia: A Single-Center Retrospective Study

Xiucui Zhang, Xinghao Cao, Jianrong Wang, Huili Huang et al.
Infection and Drug Resistance
Antimicrobial Resistance in Staphylococcus
article

Efficacy and Safety of Contezolid as an Alternative to Linezolid for Treating MRSA Spinal Infections Following Linezolid-Induced Thrombocytopenia: A Single-Center Retrospective Study

Xiucui Zhang, Xinghao Cao, Jianrong Wang, Huili Huang, Junxue Wang, Bo Wei
article en

Abstract

/L. Following transition to CZD (mean duration 66.6 ± 51.2 days; range 28-168), all patients achieved clinical success with no further platelet reduction. Platelet recovery to baseline or normal levels occurred within a mean of 8.25 ± 3.4 days (range 4-14). Three patients experienced gastrointestinal adverse events (nausea and vomiting), predominantly after the first dose. Our findings suggest that CZD may represent an effective and safe salvage therapy for patients with MRSA-SI who develop LZD-induced thrombocytopenia. Larger prospective studies are warranted to validate these preliminary findings.

Infection and Drug ResistanceVol. Volume 19
Shanghai Second People's Hospital (CN)
Good health and well-being
Openalex Percentile: Top 20%
Antimicrobial Resistance in Staphylococcus
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