Invasive mould infections in newborns and children

Elio Castagnola1, Maura Faraci, Francesca Fioredda

  • 1G.Gaslini Children's Hospital, Genova, Italy. eliocastagnola@ospedale-gaslini.ge.it

Early Human Development
|February 1, 2011
PubMed

Insights

Invasive mould infections are serious complications in children, but specific pediatric studies are lacking. Adult treatment data informs some pediatric antifungal dosages, particularly for invasive aspergillosis.

Area of Science:

  • Pediatric Infectious Diseases
  • Mycology
  • Critical Care Medicine

Background:

  • Invasive mould infections (IMIs) are significant complications in pediatric patients with various underlying conditions.
  • The epidemiology and clinical presentation of IMIs in children are influenced by the specific risk factors associated with their underlying diseases.
  • There is a notable lack of pediatric-specific research evaluating the efficacy of prophylactic or therapeutic strategies for IMIs.

Purpose of the Study:

  • To highlight the importance of invasive mould infections in pediatric conditions.
  • To underscore the variability in IMI epidemiology and clinical features based on underlying pediatric diseases.
  • To identify the gap in pediatric-specific research for IMI prophylaxis and therapy.

Main Methods:

  • Review of existing literature on invasive mould infections in pediatric populations.
  • Analysis of epidemiological data and clinical features of IMIs in children.
  • Examination of available pediatric drug dosages for invasive aspergillosis treatment, derived from adult clinical trials.

Main Results:

  • Invasive mould infections are critical complications in diverse pediatric conditions.
  • Risk and presentation of IMIs in children are highly dependent on the underlying condition.
  • No dedicated pediatric studies assess IMI prophylaxis or therapy efficacy.

Conclusions:

  • Pediatric invasive mould infections require further dedicated research.
  • Current pediatric treatment guidelines for invasive aspergillosis rely on adult trial data.
  • Addressing the specific needs of pediatric patients is crucial for managing invasive mycoses.

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