Newer antifungal agents.

TitleNewer antifungal agents.
Publication TypeJournal Article
Year of Publication2013
AuthorsLarru B, Zaoutis TE
JournalCurr Opin Pediatr
Volume25
Issue1
Pagination110-5
Date Published2013 Feb
ISSN1531-698X
KeywordsAmphotericin B, Antifungal Agents, Azoles, Child, Echinocandins, Humans, Mycoses
Abstract

PURPOSE OF REVIEW: In recent years there has been an evolution of a better understanding of the pharmacology and clinical indications of existing antifungal agents and also the development of new broad-spectrum triazoles and a newer class of antifungal agents, the echinocandins. The availability of these agents has broadened the therapeutic options of invasive fungal disease among children and consequently antifungal therapy has become increasingly complex.

RECENT FINDINGS: Adoption of adult guidelines' recommendations has been used to guide pediatric treatment as specific pediatric data were often lacking. This approach has not always selected the most appropriate therapy for newborns or young infants, as the under-dosage of voriconazole based on adult data revealed. Therefore, a detailed understanding of the available antifungal agents in children is crucial for the successful treatment of these serious infections.

SUMMARY: In this review we summarize the main findings regarding antifungal treatment among children that have been recently published, focusing on the pharmacology and pediatric use of newer antifungal agents.

DOI10.1097/MOP.0b013e32835c1fc2
Alternate JournalCurr. Opin. Pediatr.
PubMed ID23263025