伊萨夫可纳作为侵袭性真菌病的预防和治疗:一项实践观察性研究
Mehmet Ergün1,2, Anouk M E Jansen1,3, Luuk B Hilbrands4
1Radboudumc-CWZ Center of Expertise for Mycology, Radboud University Medical Center, Nijmegen, The Netherlands.
The Journal of antimicrobial chemotherapy
|June 27, 2024
概括
对侵袭性真菌病 (IFDs) 的 isavuconazole 的现实世界使用表明它耐受性很好,并且经常在标签之外使用. 治疗药物监测 (TDM) 指导剂量调整,但个体暴露往往低于目标水平.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 伊萨夫可纳是一种针对侵袭性真菌病 (IFD) 的抗真菌剂.
- 关于伊萨夫可纳的使用和暴露的现实数据有限.
- 这项研究评估了 isavuconazole 的临床实践应用和个体暴露.
研究的目的:
- 描述isavuconazole的现实世界使用情况.
- 通过治疗药物监测 (TDM) 来评估个人对伊萨武可纳的暴露.
- 为了比较实现的暴露与目标水平.
主要方法:
- 对99名用伊萨武可纳治疗的患者进行了回顾性分析.
- 评估TDM,疗效和安全数据.
- 使用非线性混合效应建模计算7天平均AUC24的计算.
主要成果:
- 伊萨夫可纳经常被非标签使用,并因其安全性概况而被选择.
- 时长缓解时间和剂量调整是常见的.
- 37.7%的患者达到60毫克·小时/升的目标AUC24.
结论:
- 伊萨夫可纳是一种可行的替代品,特别是在先前的醇毒性之后.
- 这种药物在多样化的患者群体中耐受性很好.
- 个人对伊萨武科纳的暴露一般是低的和可变的,通常需要TDM引导的调整.
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