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Published on: February 14, 2018
Pediatric antifungal therapy. Part II: neonatal infections
U Allen1, S Richardson, W McGuire
1Division of Infectious Diseases, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada. upton.allen@sickkids.ca
Insights
Managing neonatal fungal infections is challenging due to limited data on newer antifungal agents for infants. This consensus highlights prophylaxis and treatment strategies using current and emerging antifungals.
Area of Science:
- Neonatal Medicine
- Mycology
- Pharmacology
Background:
- Neonatal fungal infections present significant management challenges.
- Limited data exists on newer antifungal agents in infant populations.
- Consensus guidelines are crucial for evidence-based care.
Framework:
- The document provides a consensus-based framework for managing neonatal fungal infections.
- It addresses both prophylaxis and treatment strategies.
- Focuses on optimizing antifungal therapy in neonates.
Implementation:
- Highlights the use of lipid amphotericin B products.
- Discusses the role of echinocandins in neonatal care.
- Explores the application of triazoles for fungal infections.
Implications:
- Aims to improve clinical outcomes for neonates with fungal infections.
- Guides the judicious use of available and emerging antifungal agents.
- Addresses a critical knowledge gap in pediatric antifungal pharmacotherapy.
Abstract:
The management of neonatal fungal infections poses several challenges, including the fact that the choices of available agents are limited, given the paucity of data relating to the use of newer antifungal agents in the group of infants. The information summarized herein represents in part the consensus of a group of clinicians involved in the care of neonates at risk of and with fungal infections. The document addresses the prophylaxis and treatment of fungal infections in neonates. It highlights the role of current and emerging antifungal agents, including the lipid amphotericin B products, echinocandins and triazoles.
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