Therapeutic drug monitoring (TDM) of antifungal agents: guidelines from the British Society for Medical Mycology

被引:511
作者
Ashbee, H. Ruth [1 ]
Barnes, Rosemary A. [2 ]
Johnson, Elizabeth M. [3 ]
Richardson, Malcolm D. [4 ,5 ]
Gorton, Rebecca [6 ]
Hope, William W. [7 ]
机构
[1] Leeds Teaching Hosp NHS Trust, Dept Microbiol, Mycol Reference Ctr, Leeds LS1 3EX, W Yorkshire, England
[2] Cardiff Univ, Dept Med Microbiol & Infect Dis, Inst Infect & Immun, Sch Med, Cardiff CF14 4XN, S Glam, Wales
[3] South West Lab, Publ Hlth England Mycol Reference Lab, Bristol BS2 8EL, Avon, England
[4] Univ S Manchester Hosp, Mycol Reference Ctr, Manchester M23 9LT, Lancs, England
[5] Univ Manchester, Manchester Acad Hlth Sci Ctr, Manchester M23 9LT, Lancs, England
[6] Royal Free Hosp, Dept Microbiol, London NW3 2QG, England
[7] Univ Liverpool, Dept Mol & Clin Pharmacol, Liverpool L69 3BX, Merseyside, England
基金
美国国家卫生研究院;
关键词
triazoles; fungal pathogens; fungal diseases; INVASIVE FUNGAL-INFECTIONS; PERFORMANCE LIQUID-CHROMATOGRAPHY; STEM-CELL TRANSPLANTATION; POSACONAZOLE PLASMA-CONCENTRATIONS; SERUM ITRACONAZOLE CONCENTRATIONS; HYDROXYPROPYL-BETA-CYCLODEXTRIN; GUINEA-PIG MODEL; TO-ORAL SWITCH; IN-VITRO MODEL; ASPERGILLUS-FUMIGATUS;
D O I
10.1093/jac/dkt508
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The burden of human disease related to medically important fungal pathogens is substantial. An improved understanding of antifungal pharmacology and antifungal pharmacokineticspharmacodynamics has resulted in therapeutic drug monitoring (TDM) becoming a valuable adjunct to the routine administration of some antifungal agents. TDM may increase the probability of a successful outcome, prevent drug-related toxicity and potentially prevent the emergence of antifungal drug resistance. Much of the evidence that supports TDM is circumstantial. This document reviews the available literature and provides a series of recommendations for TDM of antifungal agents.
引用
收藏
页码:1162 / 1176
页数:15
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