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棘白菌素和乙醇锁治疗真菌导管感染。

Echinocandin and ethanol lock therapy treatment of fungal catheter infections.

机构信息

Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Stanford University School of Medicine, Palo Alto, CA 94304, USA.

出版信息

Pediatr Infect Dis J. 2013 Mar;32(3):289-91. doi: 10.1097/INF.0b013e3182784867.

DOI:10.1097/INF.0b013e3182784867
PMID:23076381
Abstract

Ethanol lock therapy has been implemented to prevent infections of central venous catheters as well as to treat infections. Fungal catheter-associated blood stream infections are historically more difficult to treat and have required removal of central venous catheters. We report the largest case series to date, successfully treating 5 of 7 fungal catheter-associated blood stream infections with ethanol lock therapy and systemic echinocandin administration.

摘要

乙醇封管疗法已被应用于预防和治疗中心静脉导管相关感染。真菌感染所致的导管相关性血流感染历来更难治疗,往往需要拔除中心静脉导管。我们报告了迄今为止最大的病例系列,通过乙醇封管疗法和系统给予棘白菌素成功治疗了 7 例真菌性导管相关性血流感染中的 5 例。

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1
Echinocandin and ethanol lock therapy treatment of fungal catheter infections.棘白菌素和乙醇锁治疗真菌导管感染。
Pediatr Infect Dis J. 2013 Mar;32(3):289-91. doi: 10.1097/INF.0b013e3182784867.
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Antifungal lock therapy with combined 70% ethanol and micafungin in a critically ill infant.在一名危重症婴儿中使用70%乙醇与米卡芬净联合进行抗真菌封管治疗。
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Ethanol lock therapy for catheter-associated blood stream infections in a pediatric intensive care unit.乙醇封管疗法治疗儿科重症监护病房导管相关性血流感染。
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The Role of Antifungals against Candida Biofilm in Catheter-Related Candidemia.抗真菌药物在导管相关性念珠菌血症中对抗念珠菌生物膜的作用。
Antibiotics (Basel). 2014 Dec 25;4(1):1-17. doi: 10.3390/antibiotics4010001.
2
Pharmacokinetics and pharmacodynamics of antifungals in children and their clinical implications.抗真菌药物在儿童中的药代动力学和药效学及其临床意义。
Clin Pharmacokinet. 2014 May;53(5):429-54. doi: 10.1007/s40262-014-0139-0.