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成功经口给予压碎的泊沙康唑延迟释放片在儿童中的应用。

Successful enteral administration of crushed posaconazole delayed-release tablets in children.

机构信息

Department of Pharmacy, Lucile Packard Children's Hospital Stanford, Palo Alto, California, USA.

Division of Pediatric Infectious Diseases, Stanford School of Medicine, Stanford, California, USA.

出版信息

Pediatr Blood Cancer. 2024 Feb;71(2):e30782. doi: 10.1002/pbc.30782. Epub 2023 Nov 21.

Abstract

Erratic absorption of posaconazole oral suspension necessitates frequent dosing and administration with meals or supplements. Alternative enteral formulations are desirable for patients intolerant to enteral nutrition. Crushed posaconazole delayed-release tablets (POS-DRT) show promise in adults; limited evidence exists in children. We used crushed POS-DRT in 10 encounters with nine pediatric patients, achieving target POS concentrations in 90% of encounters. This highlights crushed POS-DRT as a potential enteral option for pediatric antifungal prophylaxis and treatment.

摘要

泊沙康唑口服混悬剂吸收不规则,需要频繁给药,并随餐或补充剂服用。对于不能耐受肠内营养的患者,需要使用其他肠内制剂。压碎的泊沙康唑肠溶片(POS-DRT)在成人中显示出良好的效果,在儿童中仅有有限的证据。我们在 9 例患儿的 10 次治疗中使用了压碎的 POS-DRT,90%的治疗中达到了目标 POS 浓度。这突出了压碎的 POS-DRT 作为儿科抗真菌预防和治疗的一种潜在肠内选择。

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