Efficacy of micafungin in pediatric immunocompromised patients with invasive fungal infection

被引:2
作者
Hashii, Yoshiko [1 ]
Kusuki, Shigenori [2 ]
Takizawa, Sachiko [6 ]
Tokimasa, Sadao [3 ]
Ohta, Hideaki [4 ]
Hara, Junichi [5 ]
Ozono, Keiichi [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Dev Med, Suita, Osaka 5650871, Japan
[2] Natl Hosp Org Osaka Natl Hosp, Dept Pediat, Osaka, Japan
[3] Osaka City Univ, Grad Sch Med, Dept Pediat, Osaka 558, Japan
[4] Higashitoyonakawatanabe Hosp, Dept Pediat, Osaka, Japan
[5] Osaka City Gen Hosp, Dept Pediat Hematol Oncol, Osaka, Japan
[6] Ikeda City Hosp, Dept Pediat, Ikeda, Osaka, Japan
关键词
immunocompromised host; invasive fungal infection; micafungin; pediatric patient; CLINICAL-PRACTICE GUIDELINES; CELL TRANSPLANT RECIPIENTS; DISEASES SOCIETY; CANDIDA; SURVEILLANCE; ASPERGILLOSIS; EPIDEMIOLOGY; AMERICA;
D O I
10.1111/ped.12356
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BackgroundMicafungin, an antifungal echinocandin, has been indicated for pediatric patients with invasive fungal infection (IFI) in Japan and Europe. Its efficacy in immunocompromised pediatric patients with IFI, however, has not been fully investigated. MethodsThe safety and efficacy of micafungin as an antifungal therapy were analyzed in nine consecutive severe immunocompromised patients with IFI. ResultsThree patients with proven or probable Candida infections had complete response to micafungin therapy. Of the other six patients with proven, probable or possible Aspergillus infection, four had complete response and one had partial response to micafungin treatment. No severe adverse events were observed. ConclusionsIn this small series, micafungin was effective for IFI caused by both Candida and Aspergillus species and no severe adverse events were observed in these immunocompromised patients.
引用
收藏
页码:834 / 837
页数:4
相关论文
共 19 条
  • [1] Fungal infections in children with cancer - A prospective, multicenter surveillance study
    Castagnola, Elio
    Cesaro, Simone
    Giacchino, Mareva
    Livadiotti, Susanna
    Tucci, Fabio
    Zanazzo, Giulio
    Caselli, Desire
    Caviglia, Ilaria
    Parodi, Stefano
    Rondelli, Roberto
    Cornelli, Pier Emilo
    Mura, Rossella
    Santoro, Nicola
    Russo, Giovanna
    De Santis, Raffaella
    Buffardi, Salvatore
    Viscoli, Claudio
    Haupt, Riccardo
    Rossi, Mario R.
    [J]. PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2006, 25 (07) : 634 - 639
  • [2] Micafungin: A new echinocandin
    Chandrasekar, PH
    Sobel, JD
    [J]. CLINICAL INFECTIOUS DISEASES, 2006, 42 (08) : 1171 - 1178
  • [3] Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group
    De Pauw, Ben
    Walsh, Thomas J.
    Donnelly, J. Peter
    Stevens, David A.
    Edwards, John E.
    Calandra, Thierry
    Pappas, Peter G.
    Maertens, Johan
    Lortholary, Olivier
    Kauffman, Carol A.
    Denning, David W.
    Patterson, Thomas F.
    Maschmeyer, Georg
    Bille, Jacques
    Dismukes, William E.
    Herbrecht, Raoul
    Hope, William W.
    Kibbler, Christopher C.
    Kullberg, Bart Jan
    Marr, Kieren A.
    Munoz, Patricia
    Odds, Frank C.
    Perfect, John R.
    Restrepo, Angela
    Ruhnke, Markus
    Segal, Brahm H.
    Sobel, Jack D.
    Sorrell, Tania C.
    Viscoli, Claudio
    Wingard, John R.
    Zaoutis, Theoklis
    Bennett, John E.
    [J]. CLINICAL INFECTIOUS DISEASES, 2008, 46 (12) : 1813 - 1821
  • [4] Micafungin (FK463), alone or in combination with other systemic antifungal agents, for the treatment of acute invasive aspergillosis
    Denning, David W.
    Marr, Kieren A.
    Lau, Wendi M.
    Facklam, David P.
    Ratanatharathorn, Voravit
    Becker, Cornelia
    Ullmann, Andrew J.
    Seibel, Nita L.
    Flynn, Patricia M.
    van Burik, Jo-Anne H.
    Buell, Donald N.
    Patterson, Thomas F.
    [J]. JOURNAL OF INFECTION, 2006, 53 (05) : 337 - 349
  • [5] Assessment of micafungin regimens by pharmacokinetic-pharmacodynamic analysis: a dosing strategy for Aspergillus infections
    Ikawa, Kazuro
    Nomura, Kenichi
    Morikawa, Norifumi
    Ikeda, Kayo
    Taniwaki, Masafumi
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2009, 64 (04) : 840 - 844
  • [6] Role of micafungin in the antifungal armamentarium
    Ikeda, Fumiaki
    Tanaka, Shigeki
    Ohki, Hidenori
    Matsumoto, Satoru
    Maki, Katsuyuki
    Katashima, Masataka
    Barrett, David
    Aoki, Yoshiyasu
    [J]. CURRENT MEDICINAL CHEMISTRY, 2007, 14 (11) : 1263 - 1275
  • [7] Kai M, 2006, JPN J PEDIAT HEMATOL, V20, P45
  • [8] Micafungin alone or in combination with other systemic antifungal therapies in hematopoietic stem cell transplant recipients with invasive aspergillosis
    Kontoyiannis, D. P.
    Ratanatharathorn, V.
    Young, J. -A.
    Raymond, J.
    Laverdiere, M.
    Denning, D. W.
    Patterson, T. F.
    Facklam, D.
    Kovanda, L.
    Arnold, L.
    Lau, W.
    Buell, D.
    Marr, K. A.
    [J]. TRANSPLANT INFECTIOUS DISEASE, 2009, 11 (01) : 89 - 93
  • [9] Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients
    Marr, KA
    Carter, RA
    Crippa, F
    Wald, A
    Corey, L
    [J]. CLINICAL INFECTIOUS DISEASES, 2002, 34 (07) : 909 - 917
  • [10] Activities of micafungin against 315 invasive clinical isolates of fluconazole-resistant Candida spp.
    Messer, SA
    Diekema, DJ
    Boyken, L
    Tendolkar, S
    Hollis, RJ
    Pfaller, MA
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2006, 44 (02) : 324 - 326