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
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