Risk of resistance associated with fluconazole prophylaxis: systematic review.

作者: Luc P. Brion , Smart E. Uko , David L. Goldman

DOI: 10.1016/J.JINF.2006.11.017

关键词:

摘要: Summary Background Several studies have shown that fluconazole prophylaxis reduces the risk of fungal colonization and invasive infection in high-risk patients with minimal toxicity. This systematic review was designed to estimate emergence either azole susceptible-dose dependent or resistant strains. Methods We searched Medline, EMBASE, Cochrane Collaboration database our own files for randomized controlled trials assessing effect on incidence fluconazole-resistant Results clinical shows increases yeasts, percentage non- albicans Candida isolates isolates. Fluconazole did not significantly affect disease fungi. The sample size too small assess breakthrough infections . Conclusion Evidence from suggests fungi, but does remains a concern needs be addressed large prospective studies.

参考文章(43)
Sandra L. Preston, Laurie L. Briceland, Fluconazole for antifungal prophylaxis in chemotherapy-induced neutropenia American Journal of Health-system Pharmacy. ,vol. 52, pp. 164- 173 ,(1995) , 10.1093/AJHP/52.2.164
Elliott Geoffrey Playford, Angela C Webster, Jonathan C Craig, Tania C Sorrell, Antifungal agents for preventing fungal infections in solid organ transplant recipients Cochrane Database of Systematic Reviews. ,(2004) , 10.1002/14651858.CD004291.PUB2
Sydney Jacobs, David A. Price Evans, Mohammed Tariq, Nasser Fawzan Al Omar, Fluconazole improves survival in septic shock: A randomized double-blind prospective study Critical Care Medicine. ,vol. 31, pp. 1938- 1946 ,(2003) , 10.1097/01.CCM.0000074724.71242.88
Robert K. Pelz, Craig W. Hendrix, Sandra M. Swoboda, Marie Diener-West, William G. Merz, Janet Hammond, Pamela A. Lipsett, Double-blind placebo-controlled trial of fluconazole to prevent candidal infections in critically ill surgical patients. Annals of Surgery. ,vol. 233, pp. 542- 548 ,(2001) , 10.1097/00000658-200104000-00010
David Kaufman, Robert Boyle, Kevin C. Hazen, James T. Patrie, Melinda Robinson, Leigh Goodman Donowitz, Fluconazole Prophylaxis against Fungal Colonization and Infection in Preterm Infants The New England Journal of Medicine. ,vol. 345, pp. 1660- 1666 ,(2001) , 10.1056/NEJMOA010494
Daniel A C Frattarelli, Michael D Reed, George P Giacoia, Jacob V Aranda, Antifungals in systemic neonatal candidiasis. Drugs. ,vol. 64, pp. 949- 968 ,(2004) , 10.2165/00003495-200464090-00003
Philippe Eggimann, Patrick Francioli, Jacques Bille, Remy Schneider, Mei-Miau Wu, Germain Chapuis, Rene Chiolero, Andre Pannatier, Julian Schilling, Stefanos Geroulanos, Michel P. Glauser, Thierry Calandra, Fluconazole prophylaxis prevents intra-abdominal candidiasis in high-risk surgical patients. Critical Care Medicine. ,vol. 27, pp. 1066- 1072 ,(1999) , 10.1097/00003246-199906000-00019
Adrienne Z. Ables, Nancy A. Blumer, Gregory T. Valainis, Mark T. Godenick, Daniel K. Kajdasz, Yuko Y. Palesch, Fluconazole prophylaxis of severe Candida infection in trauma and postsurgical patients: a prospective, double-blind, randomized, placebo-controlled trial. Infectious Diseases in Clinical Practice. ,vol. 9, pp. 169- 175 ,(2000) , 10.1097/00019048-200009040-00006
Scott K Fridkin, David Kaufman, Jonathan R Edwards, Sharmila Shetty, Teresa Horan, National Nosocomial Infections Surveillance System Hospitals, Changing Incidence of Candida Bloodstream Infections Among NICU Patients in the United States: 1995–2004 Pediatrics. ,vol. 117, pp. 1680- 1687 ,(2006) , 10.1542/PEDS.2005-1996
Drew J. Winston, Anita Pakrasi, Ronald W. Busuttil, Prophylactic Fluconazole in Liver Transplant Recipients Annals of Internal Medicine. ,vol. 131, pp. 729- 737 ,(1999) , 10.7326/0003-4819-131-10-199911160-00003