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Broth Microdilution In Vitro Screening: An Easy and Fast Method to Detect New Antifungal Compounds
Published on: February 14, 2018
Therapy of systemic fungal infections
Jashin J Wu1, Katie R Pang, David B Huang
1Department of Dermatology, University of California, Irvine, CA, USA.
Abstract:
The incidence of both community-acquired and nosocomial fungal infections has significantly increased over the past several decades. The major factors for this increase are a heightened use of antibiotics, a growing population of the elderly and of immunocompromised patients as a result of HIV, cancer, and organ transplantation. In this article, we will review the indications, efficacy, and safety of the polyenes, imidazoles, triazoles, and other systemic antifungals in development that are used for systemic fungal infections.
Insights
Systemic fungal infections are rising due to increased antibiotic use and vulnerable populations. This review covers key antifungal drug classes, including polyenes, imidazoles, and triazoles, for treating these infections.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Background:
- Rising incidence of community-acquired and nosocomial fungal infections.
- Key contributing factors include increased antibiotic usage, aging populations, and immunocompromised individuals (HIV, cancer, organ transplant recipients).
Purpose of the Study:
- To review the indications, efficacy, and safety of systemic antifungal agents.
- To discuss established drug classes and novel agents in development.
Main Methods:
- Literature review of systemic antifungal medications.
- Analysis of clinical data on polyenes, imidazoles, and triazoles.
- Evaluation of emerging antifungal therapies.
Main Results:
- Established antifungal classes demonstrate varying efficacy and safety profiles.
- Newer agents are being developed to address resistance and improve outcomes.
- Systemic fungal infections require careful management with appropriate antifungal selection.
Conclusions:
- Antifungal stewardship is crucial given the increasing burden of fungal infections.
- Continued research into novel antifungals is essential for combating resistant strains.
- Understanding the pharmacodynamics and clinical utility of antifungals is vital for patient care.
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