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Updated: Jul 11, 2026

Generation of Multivirus-specific T Cells to Prevent/treat Viral Infections after Allogeneic Hematopoietic Stem Cell Transplant
Published on: May 27, 2011
[Voriconazole for the therapy of mycoses in recipients of solid organ transplants]
1Unidad de Trasplante Pulmonar, Hospital Universitario La Fe, Valencia, Spain.
Abstract:
Invasive fungal infections (IFI) are the third cause of infectious complications in recipients of solid organ transplants (SOT), showing an incidence of 5-42% depending of the trasplanted organ. Moreover, IFI account for significant morbility and mortality in SOT, ranging between 25-95% depending on the type of fungus and its organ localization. Different strategies (prophylaxis, preemptive treatment, treatment, antifungal combinations, routes of administration) have been tested to improve the prognosis of IFI in SOT. To reach this objective, it was essential to have access to new antifungals showing a higher spectrum of activity on the fungal pathogens, both classical and emerging, and showing improvements in pharmacokinetic and pharmacodynamic characteristics, ease of administration and acceptability and lower rates of adverse effects. Introduction of voriconazole in the therapeutic arsenal has facilitated to reach these goals due to its special pharmacological characteristics, its in vitro antifungal activity and the in vivo clinical efficacy demonstrated in different studies.
Insights
Invasive fungal infections pose a significant threat to solid organ transplant recipients. Voriconazole offers improved antifungal activity and pharmacokinetics, enhancing treatment outcomes for these vulnerable patients.
Area of Science:
- Mycology
- Transplant Infectious Diseases
- Pharmacology
Context:
- Invasive fungal infections (IFI) are a major cause of morbidity and mortality in solid organ transplant (SOT) recipients.
- IFI incidence in SOT varies from 5-42% depending on the transplanted organ.
- IFI-related mortality rates range from 25-95% based on fungal type and localization.
Purpose:
- To evaluate the role of new antifungal agents in improving the prognosis of IFIs in SOT recipients.
- To highlight the pharmacological advantages of voriconazole in managing IFIs.
- To assess the clinical efficacy of voriconazole in SOT patients.
Summary:
- Voriconazole introduction has improved management strategies for IFIs in SOT.
- It exhibits broad-spectrum activity against classical and emerging fungal pathogens.
- Key advantages include favorable pharmacokinetic/pharmacodynamic properties, ease of administration, and reduced adverse effects.
Impact:
- Voriconazole has enhanced the therapeutic arsenal for IFIs in SOT.
- Improved treatment outcomes and reduced mortality associated with IFIs in SOT.
- Facilitates better management of both common and rare fungal infections in transplant patients.
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