The echinocandins: three useful choices or three too many?

被引:36
作者
Bal, A. M. [1 ]
机构
[1] NHS Ayrshire & Arran, Crosshouse Hosp, Dept Med Microbiol, Kilmarnock KA2 0BE, Scotland
关键词
Anidulafungin; Antifungal prophylaxis; Candidaemia; Caspofungin; Febrile neutropenia; Invasive aspergillosis; Micafungin; Oesophageal candidiasis; LIPOSOMAL AMPHOTERICIN-B; INVASIVE FUNGAL-INFECTIONS; CANDIDA-ALBICANS BIOFILMS; DOUBLE-BLIND TRIAL; IN-VITRO ACTIVITY; EMPIRICAL ANTIFUNGAL THERAPY; COST-EFFECTIVENESS ANALYSIS; PULMONARY ASPERGILLOSIS; PERSISTENT FEVER; ESOPHAGEAL CANDIDIASIS;
D O I
10.1016/j.ijantimicag.2009.09.011
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Echinocandins act by inhibiting 1,3-beta-D-glucan synthesis in the fungal cell wall. The three licensed agents in this class, namely anidulafungin, caspofungin and micafungin, have a favourable pharmacological pro. le. These agents are narrow spectrum with clinically relevant activity against Candida and Aspergillus spp. Several trials have established the non-inferiority of these agents over existing agents in the treatment of invasive fungal infections. Caspofungin is also licensed for empirical antifungal therapy of presumed fungal infections in patients with febrile neutropenia. This paper reviews the literature on echinocandins. (c) 2009 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
引用
收藏
页码:13 / 18
页数:6
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