Efficacy of voriconazole plus amphotericin B or micafungin in a guinea-pig model of invasive pulmonary aspergillosis

被引:55
作者
Chandrasekar, PH [1 ]
Cutright, JL [1 ]
Manavathu, EK [1 ]
机构
[1] Wayne State Univ, Sch Med, Dept Internal Med, Div Infect Dis, Detroit, MI 48201 USA
关键词
amphotericin B; aspergillosis; guinea-pig model; micafungin; pulmonary aspergillosis; voriconazole;
D O I
10.1111/j.1469-0691.2004.00958.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The efficacy of voriconazole in combination with amphotericin B or micafungin was studied in a transiently neutropenic guinea-pig model of invasive pulmonary aspergillosis. Guinea-pigs treated with the antifungal drugs, alone or in two-drug combinations, had an improved survival rate and reduced fungal burden in the lungs compared to untreated control animals. The efficacy of monotherapy and combination therapy was similar; activity was neither enhanced nor reduced with the two-drug combinations. Further studies of efficacy, dosing and optimal regimens for antifungal combinations are warranted.
引用
收藏
页码:925 / 928
页数:5
相关论文
共 17 条
[1]   Refractory aspergillus pneumonia in patients with acute leukemia - Successful therapy with combination caspofungin and liposomal amphotericin [J].
Aliff, TB ;
Maslak, PG ;
Jurcic, JG ;
Heaney, ML ;
Cathcart, KN ;
Sepkowitz, KA ;
Weiss, MA .
CANCER, 2003, 97 (04) :1025-1032
[2]  
ARIKAN S, 2000, 40 INT C ANT AG CHEM, P368
[3]   Efficacy of voriconazole against invasive pulmonary aspergillosis in a guinea-pig model [J].
Chandrasekar, PH ;
Cutright, J ;
Manavathu, E .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2000, 45 (05) :673-676
[4]  
CHANDRASEKAR PH, 2002, INT J INFECT DIS, V6, P2
[5]   Invasive aspergillosis [J].
Denning, DW .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (04) :781-803
[6]   Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis [J].
Herbrecht, R ;
Denning, DW ;
Patterson, TF ;
Bennett, JE ;
Greene, RE ;
Oestmann, JW ;
Kern, WV ;
Marr, KA ;
Ribaud, P ;
Lortholary, O ;
Sylvester, R ;
Rubin, RH ;
Wingard, JR ;
Stark, P ;
Durand, C ;
Caillot, D ;
Thiel, E ;
Chandrasekar, PH ;
Hodges, MR ;
Schlamm, HT ;
Troke, PF ;
de Pauw, B .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (06) :408-415
[7]   Efficacy of caspofungin alone and in combination with voriconazole in a guinea pig model of invasive aspergillosis [J].
Kirkpatrick, WR ;
Perea, S ;
Coco, BJ ;
Patterson, TF .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (08) :2564-2568
[8]  
KONTOYIANNIS DP, 2002, 42 INT C ANT AG CHEM, P416
[9]  
MAERTENS J, 2002, 42 INT C ANT AG CHEM, P388
[10]  
MANAVATHU EK, 2001, 41 INT C ANT AG CHEM, P364