2011
DOI: 10.1097/inf.0b013e3182195808
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A Twice Daily Posaconazole Dosing Algorithm for Children With Chronic Granulomatous Disease

Abstract: Posaconazole (PSZ) may be an attractive alternative for antifungal prophylaxis in children with chronic granulomatous disease. Experience with PSZ in pediatric patients is limited, and no specific dose recommendations exist. A twice daily dosing algorithm based on allometric scaling (body-weight based) for PSZ results in adequate exposure and appears to be safe in children with chronic granulomatous disease.

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Cited by 45 publications
(45 citation statements)
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“…Caspofungin and Micafungin are approved for pediatric patients, whereas concerning anidulafungin, there are very little data. Caspofungin, that can only be administered by intravenous route, has been shown to be effective as prophylaxis as well as in the empirical as the therapeutical setting [23][24][25][26]. The drug is approved for children and infants for empirical therapy for neutropenic patients with persistent fever as well as second line antifungal therapy in patients with a proven IA.…”
Section: Treatment and Prophylaxismentioning
confidence: 99%
“…Caspofungin and Micafungin are approved for pediatric patients, whereas concerning anidulafungin, there are very little data. Caspofungin, that can only be administered by intravenous route, has been shown to be effective as prophylaxis as well as in the empirical as the therapeutical setting [23][24][25][26]. The drug is approved for children and infants for empirical therapy for neutropenic patients with persistent fever as well as second line antifungal therapy in patients with a proven IA.…”
Section: Treatment and Prophylaxismentioning
confidence: 99%
“…Dawkowanie leku jest znane dla dzieci >12. roku życia, dla młodszych pacjentów pozostaje ono jednak w sferze hipotez. W Klinice Transplantacji Szpiku, Onkologii i Hematologii Dziecięcej we Wrocławiu stosowano dotychczas 2 schematy dawkowania pozakonazolu u dzieci: 18 mg/kg/d [17] oraz wg zaleceń holenderskich dla dzieci z przewlekłą chorobą ziarniniakową (CGD; chronic granulomatous disease) [18]. Tabela III przedstawia schemat dawkowania zaproponowany przez Welzen i wsp.…”
Section: Praktyka Kliniczna W Polsceunclassified
“…w profilaktyce aspergilozy u dzieci z CGD, stosowany u dzieci ważących min. 10 kg [18]. U prawie wszystkich dzieci uzyskano stężenie leku !0,5 mg/L, rekomendowane przez ECIL-4 i nie obserwowano infekcji z przełamania ani ciężkich objawów ubocznych [18].…”
Section: Praktyka Kliniczna W Polsceunclassified
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“…9,10 Prevention of invasive fungal infection using either itraconazole or posaconazole is standard of care in patients with chronic granulomatous disease (CGD). 11,12 The azole antifungal drugs display their activity by targeting lanosterol 14a-demethylase which is involved in ergosterol biosynthesis and is encoded by the cyp51A gene. 13 The resulting depletion of ergosterol leads to altered permeability of the fungal membrane and defective fungal cell wall synthesis.…”
Section: Introductionmentioning
confidence: 99%