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卡泊芬净用于治疗与……相关的尿路感染的病例系列结果 。(原文中“-related”处信息缺失)

Outcomes of caspofungin use in the treatment of -related urinary tract infections, a case series.

作者信息

Rkieh Laila, El Nekidy Wasim S, Alsoud Leen Oyoun, Alatoom Adnan, El Lababidi Rania, Mooty Mohamad, Nusair Ahmad R

机构信息

Trillium Health Partners Mississauga Hospital, Mississauga, ON, Canada.

Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

出版信息

IDCases. 2022 May 18;28:e01510. doi: 10.1016/j.idcr.2022.e01510. eCollection 2022.

DOI:10.1016/j.idcr.2022.e01510
PMID:35646592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9136130/
Abstract

Echinocandins are generally excluded in the treatment of related urinary tract infections due to their poor urinary concentration. In the presence of fluconazole resistant species, such as and , alternative therapies are needed. We herein report the use of caspofungin for the treatment of 10 patients with candiduria, including . Mycological cure was achieved in 6 of 7 patients and clinical cure was achieved in 8 of 10 patients. Larger studies are needed to confirm our findings.

摘要

由于棘白菌素在尿液中的浓度较低,通常不用于治疗相关的尿路感染。在存在对氟康唑耐药的菌种(如[具体菌种1]和[具体菌种2])时,需要替代疗法。我们在此报告使用卡泊芬净治疗10例念珠菌尿患者,包括[具体病例情况]。7例患者中有6例实现了真菌学治愈,10例患者中有8例实现了临床治愈。需要更大规模的研究来证实我们的发现。

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本文引用的文献

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IDCases. 2020 Mar 21;20:e00748. doi: 10.1016/j.idcr.2020.e00748. eCollection 2020.
2
Epidemiology of candiduria and Candida urinary tract infections in inpatients and outpatients: results from a 10-year retrospective survey.住院患者和门诊患者念珠菌尿症及念珠菌性尿路感染的流行病学:一项10年回顾性调查结果
Cent European J Urol. 2019;72(2):209-214. doi: 10.5173/ceju.2019.1909. Epub 2019 Jun 29.
3
Candiduria: Evidence-based approach to management, are we there yet?尿培养阳性:管理的循证方法,我们做到了吗?
J Mycol Med. 2017 Sep;27(3):293-302. doi: 10.1016/j.mycmed.2017.04.005. Epub 2017 May 10.
4
Micafungin treatment and eradication of candiduria among hospitalized patients.米卡芬净治疗并根除住院患者念珠菌尿症
Int Urol Nephrol. 2016 Nov;48(11):1881-1885. doi: 10.1007/s11255-016-1410-0. Epub 2016 Sep 1.
5
Urinary micafungin levels are sufficient to treat urinary tract infections caused by Candida spp.尿中米卡芬净浓度足以治疗由念珠菌属引起的尿路感染。
Int J Antimicrob Agents. 2016 Aug;48(2):212-4. doi: 10.1016/j.ijantimicag.2016.05.010. Epub 2016 Jul 5.
6
Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America.《念珠菌病管理临床实践指南:美国传染病学会2016年更新版》
Clin Infect Dis. 2016 Feb 15;62(4):e1-50. doi: 10.1093/cid/civ933. Epub 2015 Dec 16.
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