Perfect J R
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Rev Infect Dis. 1990 Mar-Apr;12 Suppl 3:S299-302. doi: 10.1093/clinids/12.supplement_3.s299.
Fluconazole is a second-generation azole compound with broad-spectrum antifungal activity. It has been examined in several animal models emphasizing important clinical sites of infection with common yeast pathogens. The drug has an excellent pharmacokinetic profile for central nervous system, renal, and ocular infections; at these sites fluconazole has been successful in the treatment of infections with Cryptococcus neoformans or Candida albicans. On the basis of the experience in animals, fluconazole should be critically evaluated in the treatment of human mycoses such as cryptococcosis of the central nervous system and renal/ocular candidiasis. This agent represents the new wave of interest in the increasingly troublesome problem of deep-seated fungal infections.
氟康唑是一种具有广谱抗真菌活性的第二代唑类化合物。它已在多种动物模型中进行了研究,这些模型着重关注常见酵母病原体感染的重要临床部位。该药物在中枢神经系统、肾脏和眼部感染方面具有出色的药代动力学特征;在这些部位,氟康唑已成功用于治疗新型隐球菌或白色念珠菌感染。基于动物实验经验,应严格评估氟康唑在治疗人类真菌病(如中枢神经系统隐球菌病和肾脏/眼部念珠菌病)中的作用。这种药物代表了针对日益棘手的深部真菌感染问题的新关注方向。