Division of Hematology/Oncology, Arizona Cancer Center, Tucson, AZ 85724, USA.
Mycoses. 2011 Nov;54(6):e775-9. doi: 10.1111/j.1439-0507.2011.02020.x. Epub 2011 May 25.
Posaconazole, a triazole antifungal agent with proven efficacy for prophylaxis and treatment of fungal infections, is often limited by poor absorption. We report on five consecutive patients who received posaconazole along with a care bundle intended to increase absorption by addressing gastric pH, co-administration with food, dividing doses and avoiding drug interactions. Each patient yielded multiple robust posaconazole serum concentrations. No patient experienced breakthrough fungal infection while receiving posaconazole. The posaconazole care bundle administered to oncology patients is feasible and may optimise posaconazole absorption.
泊沙康唑是一种三唑类抗真菌药物,已被证实可有效预防和治疗真菌感染,但由于其吸收不良而受到限制。我们报告了五例连续患者,他们在接受泊沙康唑治疗的同时,还接受了一个护理包,旨在通过调节胃 pH 值、与食物同时给药、分剂量和避免药物相互作用来增加药物吸收。每个患者都产生了多次强大的泊沙康唑血清浓度。在接受泊沙康唑治疗期间,没有患者发生真菌突破感染。针对肿瘤患者的泊沙康唑护理包是可行的,并且可能优化泊沙康唑的吸收。