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回顾性分析儿科肿瘤人群中泊沙康唑混悬液的给药方案:单中心经验。

Retrospective Analysis of Posaconazole Suspension Dosing Strategies in a Pediatric Oncology Population: Single-Center Experience.

机构信息

Departments of1Pharmacy.

Epidemiology and Biostatistics.

出版信息

J Pediatric Infect Dis Soc. 2017 Sep 1;6(3):e149-e151. doi: 10.1093/jpids/pix058.

DOI:10.1093/jpids/pix058
PMID:28903522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5907872/
Abstract

Limited data on optimal posaconazole dosing strategies for pediatric patients exist. In this study, we found that the median initial dose in patients who achieved a posaconazole plasma concentration of 0.7 μg/mL was 22.8 mg/kg per day whereas the median initial dose in those who did not reach the target concentration was 15.8 mg/kg per day; this result suggests that higher initial doses might be warranted.

摘要

关于儿童患者最佳泊沙康唑给药方案的数据有限。本研究发现,达到泊沙康唑血药浓度 0.7μg/ml 的患者的中位起始剂量为 22.8mg/kg/天,而未达到目标浓度的患者的中位起始剂量为 15.8mg/kg/天;这表明较高的初始剂量可能是必要的。

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本文引用的文献

1
Posaconazole therapeutic drug monitoring in pediatric patients and young adults with cancer.泊沙康唑治疗药物监测在癌症患儿和青年患者中的应用。
Ann Pharmacother. 2013 Jul-Aug;47(7-8):976-83. doi: 10.1345/aph.1R775. Epub 2013 Jun 4.
2
Analysis of posaconazole as oral antifungal prophylaxis in pediatric patients under 12 years of age following allogeneic stem cell transplantation.分析泊沙康唑作为 12 岁以下异基因造血干细胞移植后患儿的口服抗真菌预防用药。
BMC Infect Dis. 2012 Oct 19;12:263. doi: 10.1186/1471-2334-12-263.
3
Posaconazole exposure-response relationship: evaluating the utility of therapeutic drug monitoring.泊沙康唑暴露-反应关系:评估治疗药物监测的效用。
Antimicrob Agents Chemother. 2012 Jun;56(6):2806-13. doi: 10.1128/AAC.05900-11. Epub 2012 Mar 5.
4
Exposure-response of posaconazole used for prophylaxis against invasive fungal infections: evaluating the need to adjust doses based on drug concentrations in plasma.泊沙康唑用于预防侵袭性真菌感染的暴露-反应:评估是否需要根据血浆药物浓度调整剂量。
Clin Pharmacol Ther. 2010 Jul;88(1):115-9. doi: 10.1038/clpt.2010.64. Epub 2010 May 26.
5
Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group.欧洲癌症研究与治疗组织/侵袭性真菌感染合作组和美国国立过敏与传染病研究所真菌病研究组(EORTC/MSG)共识组对侵袭性真菌病的修订定义。
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