From the Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Department of Pharmacy, Texas Children's Hospital, Houston, Texas.
Pediatr Infect Dis J. 2020 Apr;39(4):310-312. doi: 10.1097/INF.0000000000002554.
Posaconazole is a triazole antifungal with activity against Rhizopus, but data on its use and pharmacokinetics in preterm infants are scarce. In this case, a 24 4/7-week neonate's Rhizopus infection is successfully treated with debridement and combination antifungal therapy with amphotericin B, micafungin and enteral posaconazole. This is the first reported posaconazole use in a preterm neonate with Rhizopus.
泊沙康唑是一种三唑类抗真菌药,对根霉属有活性,但早产儿中使用泊沙康唑的相关数据和药代动力学数据有限。本病例中,1 名 24 4/7 周的早产儿通过清创术联合两性霉素 B、米卡芬净和肠内泊沙康唑治疗,成功治愈了根霉属感染。这是首例报道的早产儿使用泊沙康唑治疗根霉属感染的病例。