
Contents
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Introduction Introduction
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Fungal classification Fungal classification
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Classes of antifungal drugs Classes of antifungal drugs
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Fungicidal versus fungistatic action Fungicidal versus fungistatic action
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Spectrum of action and dosing Spectrum of action and dosing
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Lipid-associated amphotericin B preparations Lipid-associated amphotericin B preparations
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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5-Fluorocytosine 5-Fluorocytosine
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Fluconazole Fluconazole
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Itraconazole Itraconazole
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Voriconazole Voriconazole
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Posaconazole Posaconazole
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Caspofungin Caspofungin
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Micafungin Micafungin
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Pharmacology Pharmacology
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Efficacy Efficacy
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Anidulafungin Anidulafungin
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Pharmacology Pharmacology
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Efficacy Efficacy
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Toxicity Toxicity
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Future research Future research
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Key references Key references
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Further reading Further reading
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Cite
Extract
see also Chapters 6, 8, 15, 17, 20, 22, 23, 28, 29, 30, 51, 55, 110
Introduction
Conventional amphotericin B deoxycholate, fluconazole, and 5-fluorocytosine (5-FC) have until recently been the mainstay of antifungal therapy in invasive fungal infection (IFI). Lipid amphotericin preparations are less toxic than conventional preparations, and along with azole antifungal agents, increase the options for treating invasive fungal diseases. With the advent of novel azoles, such as voriconazole and posaconazole, along with echinocandin drugs such as caspofungin, treatment can be tailored to the fungus species isolated and its drug sensitivity, as well as the degree of risk from immunosuppression. However, there is a paucity of high-quality data evaluating the efficacy of antifungal drugs in children, and paediatric pharmacokinetic data for the older and the newer antifungal agents are limited, making research in this field a key priority. For all drug doses, see Appendix 5.
Fungal classification
Yeasts:
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