Zaoutis Theoklis E, Benjamin Daniel K, Steinbach William J
Department of Pediatrics, Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Drug Resist Updat. 2005 Aug;8(4):235-45. doi: 10.1016/j.drup.2005.06.005. Epub 2005 Jul 27.
Invasive fungal infections have increased in frequency and severity over the past two decades as a result of an increasing number of immunocompromised patients. This new age of opportunistic fungal infections extends to pediatric patients. The last decade has seen the development of several new antifungal agents for the treatment of these infections. However, there is a paucity of data on the treatment of invasive fungal infections in children. This review provides a brief overview of the current state of antifungal therapy for children, discussing the important antifungal classes and the differences in mechanisms of action and resistance, pharmacology, and efficacy and safety data in pediatric patients outside the neonatal period.
在过去二十年中,由于免疫功能低下患者数量的增加,侵袭性真菌感染的发生率和严重程度都有所上升。这种机会性真菌感染的新时代也延伸到了儿科患者。在过去十年中,已经开发出几种用于治疗这些感染的新型抗真菌药物。然而,关于儿童侵袭性真菌感染治疗的数据却很匮乏。本综述简要概述了儿童抗真菌治疗的现状,讨论了重要的抗真菌类别以及作用机制、耐药性、药理学以及新生儿期以外儿科患者的疗效和安全性数据方面的差异。