Main Article Content

Safety and tolerability of moxifloxacin in pediatric population: A systematic review of evidence based practice


Mohammed Kanan Alshammari
Noura Abdullah AlAtwi
Wejdan Mohammed Alshehri
Shatha Khaled Altwijri
Sama Abdulmohsen Alsheehe
Abdulaziz Khalaf Alshammari
Rehab Raja Alroqi
Raghad Othman Alsharafi
Razan Ali Alshehri
Khalid Mokhlef Alenazi
Faisal shouick alenazi
Nasser Hamdan Alenazy
Faisal Saleem Alanazi
Mujtaba Abbas Jasim Aljasim
Fatimah Raja Alahmari

Abstract

Purpose: To evaluate the adverse events (AEs) associated with moxifloxacin (MFX) use in children below the age of 18 years.


Methods: This review was performed in conformity with the preferred items for systematic reviews and meta-analysis (PRISMA) guidelines using different databases. Articles meeting the inclusion criteria were screened and the studies were selected for the qualitative synthesis.


Results: A total of 21 studies were included in the systematic review. Among these, 7 retrospective cohort studies, 6 case reports, 3 prospective cohort studies, 2 randomized clinical trials (RCT) and the remainder utilized other methodologies. The variability in studies allowed for an assessment of the safety and tolerability of both short-term and long-term MFX administration in pediatric patients.


Conclusion: Although MFX use is associated with AEs, the majority were mild and resolved on their own. The reason for QTc prolongation and elevated liver enzymes remain a question for clinicians in prescribing MFX in pediatric patients.


Journal Identifiers


eISSN: 1596-9827
print ISSN: 1596-5996