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Random plasma concentrations of voriconazole decline over time
Victor Mulanovich1, Russell E Lewis, Issam I Raad
1Department of Infectious Diseases, Infection Control and Employee Health, Unit 402, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
Abstract:
We retrospectively collected information about 29 cancer patients who underwent measurement of their plasma concentration (PC) of voriconazole (VRC) (2002-2006). Nine patients (31%) had VRC PC <1 microg/ml. VRC PC <1 microg/ml occurred in 7 of 10 patients who were on VRC >2 months versus only 2 of 19 patients who were on VRC <2 months (P=0.001). VRC PCs were infrequently ordered, did not follow clear indications, and the use of the results was variable.
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