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Updated: Apr 17, 2026

Broth Microdilution In Vitro Screening: An Easy and Fast Method to Detect New Antifungal Compounds
Published on: February 14, 2018
New antifungal and antiviral dosing
Kelly C Wade1, Heather M Monk2
1Division of Neonatology, Department of Pediatrics, Perelman School of Medicine, Children's Hospital of Philadelphia Newborn Care at Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107, USA.
Insights
Neonatal fungal and viral infections pose serious risks. Understanding antimicrobial pharmacokinetics (PK) and pharmacodynamics (PD) improves medication dosing, enhancing treatment for newborns.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pharmacology
Background:
- Neonatal fungal and viral infections are significant causes of mortality and long-term neurologic disability.
- Effective treatment is crucial for improving outcomes in vulnerable newborns.
Purpose of the Study:
- To review the fundamental pharmacokinetic (PK) and pharmacodynamic (PD) properties of common neonatal antifungal and antiviral drugs.
- To provide updated dosing guidance for these critical medications in neonates.
Main Methods:
- Literature review of PK/PD studies and clinical trials concerning neonatal antifungal and antiviral therapies.
- Synthesis of current evidence on drug disposition and efficacy in the neonatal population.
Main Results:
- Established PK/PD principles guide optimized antimicrobial dosing in neonates.
- Specific recommendations for common antifungal and antiviral agents are discussed.
Conclusions:
- Optimized dosing strategies based on PK/PD are essential for managing neonatal infections.
- Further research into neonatal antimicrobial pharmacology can improve patient care and reduce morbidity and mortality.
Abstract:
Neonatal fungal and viral infections are associated with mortality and neurologic impairment among survivors. Advances in pharmacokinetics (PK) and pharmacodynamics (PD) of antimicrobial medications have led to improved dosing guidance for neonates. This article discusses the basic PK/PD properties and dosing of the most common antifungal and antiviral medications used in neonates.
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