新型棘白菌素类抗真菌药阿尼芬净(4)
发布时间:2021-06-11
发布时间:2021-06-11
竺!!!!!!!!!!!!!!!型!兰些垡g!;业i!!型:!!型!:!!
唑合并用药.药动学参数均未见改变.阿尼芬净和不同清除机制的两性霉素B脂质体联合应用,彼此的药动学参数也没有统计学意义上的差别b2I。
6结语
阿尼芬净不经过肝代谢和肾清除,使联合用药以及肝、肾功能不良患者无需调整剂量成为可能。对于念珠菌属,MIC低于氟康唑和卡泊芬净。且用药安全,耐受性好,对治疗念珠菌和霉曲菌引起的严重感染具有广阔的前景。
【作者简介】
曹国颖(1965一),女,主任药师,主要从事化学
药品检验工作。联系电话:(010)65132266.3632,E.mail:
caogyl0@hotmail.cam。
[
参考文献
]
[1]
Ostrosky ZeicherL.Newapproachesto
therisk
of
candida
in
the
intensivecare
unit[J].Curt
Opin
infectDis,2003,16(6):533—
537.
[2]
Steinbach
WJ,Stevens
DA.Reviewofnewer
antifungal
and
immunomodulatorystrategiesforinvasiveaspergillosis[J].ClinInfect
Dis,2003,37(Suppl3):S157一S187.
[3]DebonoM,TurnerWW,La
GrandeurL,et
a1.Semisynthetic
chemical
modification
of
the
antifungal
lipopeptideeehinocandinB
(ECB):structure-activity
studies
of
thelipophilic
and
geometric
parameters
ofpolyarylatedaeyl
analogs
of
ECB[J].JMed
Chem,
1995,38(17):3271—3281.
[4]DebonoM,AbbpttBJ,TurnerJR,et
a1.Synthesis
and
evaluationof
LY一121019,a
memberof
a
seriesof
Semisyntheticanalogs
of
the
antifungallipopeptideechinocandinB[J].AnnNYAcad
Sci,1988,
544:152—167.
[5]PfallerMA,HollisR,Goldstein
BP,eta1.In
vitroactivity
of
anidulafungin(ANID)and
other
agents
against
526
Esophageal
candidiasis
isolates
l
A
j,43rd
interscience
Conferenceon
AntimicrobialAgentsand
Chemotherapy
Abstracts
of
theAmerican
SocietyforMicrobiology[c].Chicago:Illinois,2003.Abstract
M-
1226.
[6]MurdochD,PloskerGL.Anidulafungin[J].Drug,2004,64(19):
2249—2258.
[7]
Espinel-Ingraft
A.Invitro
antifungal
activitiesof
anidulafungin
and
micafungin,licensed
agents
and
the
investigational
triazole
posaconazole
as
determined
by
NCCLSmethods
for12,052
fungal
isolates:review
of
the
literature[J].Rev
Iberoam
Mica,2003,
20(4):121—136.
、
[8]
Petraitis
V,PetraitieneR,Groll
AH,et
a1.Dosage-dependent
antifungal
efficacy
ofV-echinocandin(LY303366)
against
experimental
fluconazole-resistant
oropharyngeal
and
Esophageal
candidiasis[J].Antimicrob
Agems
Chemother,2001,45(2):471—
479.
[9]
VerweijPE,Oakley
KL,Morrissey
J,eta1.Efficacyof
LY303366
against
amphotericinB-susceptibleand-resistantAspergillus
fumigatus
in
a
murine
model
ofinvasive
aspergil
losis[J].Antimicrob
Agen如Chemother,1998,42(4):873—878.
[10]
Denning
DW.Echinocandinantifungaldrugs[J].Lancet,2003,362
中国新药杂志2005年第14卷第11期
(10):1142—1151.DowellJA,Knebel
W,Ludden
T,
eta1.A
population
pharmacokinetic
analysis
of
anidulafungin[J].43“interscience
conference
on
antimicrobial
agents
andchemotherapyabstracts
of
the
american
societyfor
microbiology[C].Chicago:Illinois,2003.
Abstract
A一1575.
[12]
DowellJA,KnebelW,Ludden
T,eta1.Apopulation
pharmacokinetic
analysis
of
anidulafungin,811echinocandinantifungal[J].JClin
PharmazoZ,2004,44(6):590—598.
[13]StogniewM,PuF,HenkelT.Antifungal
biotransformatation
in
humansis
bydegradation
not
metabolism[A].Programandabstracts
of
13rd
Europeancongress
of
clinicalmicrobiologyandinfectious
diseases[C].Glasgow,UK,2003.Abstract
1223.
[14]Dowell
JA,SchranzJ,KrauseD.Anidulafungindosageadjustments
are
not
required
for
patients
with
hepatic
and/orrenal
impairment[A].Programandabstracts
of13“European
congress
of
clinical
microbiologyand
infectious
diseases[C].Glasgow,UK2004.
Abstract
P1222.
[15]KrauseD,SimjeeAE,vanRensburg
C.A
randomized,double blind
trial
of
anidulafungin
versus
fluconazole
for
the
treatment
of
Esophageal
candidiasis[J].ClinInfectDis,2004,39(6):770—
775.
[16]
Krause
D,ReinhardtJ,VazquezJA,et
a1.PhaesⅡ,randomized
dose-rangingstudyevaluating
thesafety
andefficacyof
anidulafangin
in
invasivecandidiasisandeandidemialJJ.Antimicrob
Agents
Chemother,2004,48(6):2012—2014.
[17]
KrauseD,SchranzJ,GoldsteinBP,et
a1.Efficacy
of
anidulafungin
forthetreatmentof
candidiasis[A].43“intemcienceconference
on
antimicrobial
agents
and
chemotherapy
abstracts
of
the
american
societyfor
microbiology[C].Chicago:Illinois,2003.Abstract
M-971.
[18]
StogniewM,Dowell
JA,Krause
D.Anidulafungin
and
cyclosporin:
safe
coadministration
withoutdosingadjustment[A].Program
and
abstractsof
15“congressof
theinternationalforHuman
and
animal
Mycology[C].SanAntonio:Texas,2003,Abstract399.2.
[19]
StogniewM,Dowell
JA,Krause
D.Population
pharmacokineties(PK)
confirms
absence
of
anidulafungin(ANID)drug—druginteraction[A].
Program
and
abstractsof
14rd
Europeancongress
ofclinical
microbiologyand
infectious
diseases[C].Prague/Czech
Republic,
2004.Abstract
CZ1035.
[20]
Dowell
JA,KnebelW,Ludden
T,et
a1.Anidulafunginsafety
and
pharmacokineticin
subjectreceivingconcomitant
cyclosporine[A].
42“interscienceconferenceon
antimierobial
agentsandchemotherapy
abstractsoftheamerican
societyformicrobiology[C].Washingtan,
DC,US.2002.Abstract
A.1836
[21]
DowellJA,SchranzJ,
WilsonJ.
Anidulafungin(ANID)
pharmacokineticsare
not
affectedbyconcomitant
voriconasole[A].
Program
andabstractsof
14rd
Europeancongress
of
clinical
microbiologyandinfectious
diseases[C].Prague/CzechRepublic,
2004.Abstract
1034.
[22]
DowellJA,Schranz
J,Stogniew
M.Pharmacokinetics(PK)of
anidulafunginin
patients
with
invasive
aspergillosisreceiving
concomitantliposomal
amphotericin(B)[A].Program
andabstractsof
14rd
Europeancongress
of
clinical
microbiology
and
infectious
diseases[C].Prague/CzechRepublic,2004.AbstractCZ1036.
(接受日期:2005—05—31)
一136l一
上一篇:模拟电子技术实验报告模版
下一篇:二元一次方程组应用题专项练习教案