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Published on: February 14, 2018
[Selection of antifungal agents for burn patients]
1Department of Burns and Plastic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Abstract:
Fungal infection is one of the serious complications of severely burned patients with high mortality. Application of antifungal agents timely and rationally is very important to control the infection. Antifungal agents including polyenes,triazoles, and echinocandins have been used widely in burned patients and are proved to be effective. Since diagnosis of fungal infection remains difficult, prophylactic and empirical therapies appear to be particularly necessary. In order to improve the efficacy and safety of antifungal agents, the factors of fungal strains, infection sites, hepatic and renal functions, and age, etc. should be considered in selecting antifungal agents.
Insights
Fungal infections are a major risk for burn patients. Timely and rational use of antifungal agents like polyenes, triazoles, and echinocandins is crucial for effective treatment and improved outcomes.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Burn Care
Context:
- Fungal infections pose a significant threat to severely burned patients, leading to high mortality rates.
- Effective management of fungal infections is critical for patient survival and recovery.
- Current diagnostic challenges necessitate proactive therapeutic strategies.
Purpose:
- To review the role and selection criteria of antifungal agents in managing fungal infections in burn patients.
- To highlight the importance of prophylactic and empirical antifungal therapies due to diagnostic difficulties.
- To emphasize personalized selection of antifungal agents based on patient-specific factors.
Summary:
- Polyenes, triazoles, and echinocandins are established antifungal agents used in burn care.
- Prophylactic and empirical antifungal treatments are necessary due to challenges in diagnosing fungal infections.
- Selecting antifungal agents requires consideration of fungal strains, infection sites, organ function, and patient age.
Impact:
- Optimizing antifungal therapy can reduce mortality in severely burned patients.
- Informed selection of antifungals improves treatment efficacy and patient safety.
- This review provides guidance for clinicians managing fungal infections in burn populations.
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