کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3358489 1591758 2016 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A pharmacokinetic analysis of posaconazole oral suspension in the serum and alveolar compartment of lung transplant recipients
ترجمه فارسی عنوان
تجزیه و تحلیل فارماکوکینتیک سوساپاز پوساکونازول در بخش سرمی و آلوئولار گیرندگان پیوند ریه
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروبیولوژی و بیوتکنولوژی کاربردی
چکیده انگلیسی


• Observational trial exploring posaconazole pharmacokinetics following lung transplant.
• Serum posaconazole levels are highly variable after transplantation.
• Serum posaconazole levels correlate with levels measured in the airways.
• Therapeutic drug monitoring is vital if posaconazole is used after transplantation.

Invasive fungal infections cause significant morbidity and mortality after lung transplantation. Fungal prophylaxis following lung transplantation is not standardised, with transplant centres utilising a variety of regimens. Posaconazole is a broad-spectrum antifungal triazole that requires further investigation within the setting of lung transplantation. This prospective, single-centre, observational study explored the pharmacokinetics of posaconazole oral suspension (POS) in the early perioperative period following lung transplantation in 26 patients. Organ recipients were scheduled to receive 400 mg POS twice daily for 6 weeks as primary antifungal prophylaxis. Therapeutic drug monitoring (TDM) of serum posaconazole levels was performed in accordance with local clinical protocols. Bronchoalveolar lavage fluid (BALF) was sampled during routine bronchoscopies. Posaconazole levels were measured both in serum and BALF using mass spectrometry. Posaconazole levels were highly variable within lung transplant recipients during the perioperative period and did not achieve ‘steady-state’. Serum posaconazole concentrations positively correlated with levels within the BALF (r = 0.5527; P = 0.0105). Of the 26 patients, 10 failed to complete the study for multiple reasons and so the trial was terminated early. Unlike study findings in stable recipients, serum posaconazole levels rarely achieved steady-state in the perioperative period; however, they do reflect the concentrations within the airways of newly transplanted lungs. The role of POS as primary prophylaxis in the perioperative period is uncertain, but if used TDM may be helpful for determining attainment of therapeutic levels.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Antimicrobial Agents - Volume 47, Issue 1, January 2016, Pages 69–76
نویسندگان
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