Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants

We conducted a retrospective case series study to evaluate the safety of fosfluconazole prophylaxis for preventing invasive fungal infection in VLBW infants with a central vascular access. Fosfluconazole was administered intravenously at a dose of 6 mg/kg everyday during which time a central venous...

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Main Authors: Daijiro Takahashi, Tomohiko Nakamura, Reiko Shigematsu, Miyu Matsui, Shunsuke Araki, Kazuyasu Kubo, Hiroshi Sato, Akira Shirahata
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2009/274768
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author Daijiro Takahashi
Tomohiko Nakamura
Reiko Shigematsu
Miyu Matsui
Shunsuke Araki
Kazuyasu Kubo
Hiroshi Sato
Akira Shirahata
author_facet Daijiro Takahashi
Tomohiko Nakamura
Reiko Shigematsu
Miyu Matsui
Shunsuke Araki
Kazuyasu Kubo
Hiroshi Sato
Akira Shirahata
author_sort Daijiro Takahashi
collection DOAJ
description We conducted a retrospective case series study to evaluate the safety of fosfluconazole prophylaxis for preventing invasive fungal infection in VLBW infants with a central vascular access. Fosfluconazole was administered intravenously at a dose of 6 mg/kg everyday during which time a central venous catheter was placed. A total of 23 infants met the criteria for enrollment in our study. No cases of fungal infection were detected during the central venous catheter placement in the group. None of the infants had an elevated β-D-glucan, and all of them were still alive at discharge. Regarding the liver and renal function, no statistically significant differences were observed before and at the end of fosfluconazole prophylaxis. The results of this study demonstrate that fosfluconazole prophylaxis in preventing invasive fungal infection was well tolerated by VLBW infants. This is a first report to describe antifungal prophylaxis using fosfluconazole for VLBW infants.
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institution Kabale University
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language English
publishDate 2009-01-01
publisher Wiley
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series International Journal of Pediatrics
spelling doaj-art-04c91866a5e7480687fd58bf694b68a52025-02-03T01:09:57ZengWileyInternational Journal of Pediatrics1687-97401687-97592009-01-01200910.1155/2009/274768274768Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight InfantsDaijiro Takahashi0Tomohiko Nakamura1Reiko Shigematsu2Miyu Matsui3Shunsuke Araki4Kazuyasu Kubo5Hiroshi Sato6Akira Shirahata7Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanDivision of Neonatology, Nagano Children’s Hospital, Azumino City, Nagano 399-8288, JapanDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanDepartment of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, JapanWe conducted a retrospective case series study to evaluate the safety of fosfluconazole prophylaxis for preventing invasive fungal infection in VLBW infants with a central vascular access. Fosfluconazole was administered intravenously at a dose of 6 mg/kg everyday during which time a central venous catheter was placed. A total of 23 infants met the criteria for enrollment in our study. No cases of fungal infection were detected during the central venous catheter placement in the group. None of the infants had an elevated β-D-glucan, and all of them were still alive at discharge. Regarding the liver and renal function, no statistically significant differences were observed before and at the end of fosfluconazole prophylaxis. The results of this study demonstrate that fosfluconazole prophylaxis in preventing invasive fungal infection was well tolerated by VLBW infants. This is a first report to describe antifungal prophylaxis using fosfluconazole for VLBW infants.http://dx.doi.org/10.1155/2009/274768
spellingShingle Daijiro Takahashi
Tomohiko Nakamura
Reiko Shigematsu
Miyu Matsui
Shunsuke Araki
Kazuyasu Kubo
Hiroshi Sato
Akira Shirahata
Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants
International Journal of Pediatrics
title Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants
title_full Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants
title_fullStr Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants
title_full_unstemmed Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants
title_short Fosfluconazole for Antifungal Prophylaxis in Very Low Birth Weight Infants
title_sort fosfluconazole for antifungal prophylaxis in very low birth weight infants
url http://dx.doi.org/10.1155/2009/274768
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