Low Rates of Antifungal Therapeutic Drug Monitoring Among Inpatients Who Received Itraconazole, Posaconazole, or Voriconazole, United States, 2019-2021

被引:9
作者
Benedict, Kaitlin [1 ,6 ]
Gold, Jeremy A. W. [1 ]
Toda, Mitsuru [1 ]
Thompson, George R. [2 ,3 ]
Wiederhold, Nathan P. [4 ]
Smith, Dallas J. [1 ,5 ,6 ]
机构
[1] Ctr Dis Control & Prevent, Mycot Dis Branch, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, Atlanta, GA USA
[2] Univ Calif Davis, Davis Med Ctr, Dept Internal Med, Div Infect Dis, Sacramento, CA USA
[3] Univ Calif Davis, Dept Med Microbiol & Immunol, Davis, CA USA
[4] Univ Texas Hlth Sci Ctr San Antonio, Dept Pathol & Lab Med, Fungus Testing Lab, San Antonio, TX USA
[5] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA USA
[6] Ctr Dis Control & Prevent, Mycot Dis Branch, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd NE, MS H24-9, Atlanta, GA 30329 USA
关键词
drug monitoring; itraconazole; posaconazole; United States; voriconazole; GUIDELINES; SOCIETY;
D O I
10.1093/ofid/ofad389
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Antifungal therapeutic drug monitoring (TDM) is recommended for hospitalized patients receiving itraconazole, posaconazole, or voriconazole for treatment or prophylaxis. In this analysis of hospital-based data, TDM was uncommonly performed (15.8%) in a large cohort of eligible patients, suggesting missed opportunities to avoid subtherapeutic drug levels and minimize toxicity.
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页数:4
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