Therapy of deep fungal infection in haematological malignancy. Working Party of the British Society for Antimicrobial Chemotherapy
Author(s) -
A. G. Prentice,
Rosemary A. Barnes,
Thomas R. Rogers,
J. Cohen,
David W. Denning,
E. G. V. Evans,
R. J. Hay,
D. C. E. Speller,
David W. Warnock,
Richard Warren
Publication year - 1997
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/40.6.779
Subject(s) - amphotericin b , fluconazole , antimicrobial , malignancy , chemotherapy , antibiotics , drug resistance , intensive care medicine , medicine , drug , limiting , antifungal , biology , pharmacology , microbiology and biotechnology , mechanical engineering , engineering
The treatment of deep fungal infection in haematological malignancy remains controversial due to the limited number of antifungal agents available and problems over their spectrum and dose-limiting side-effects. Difficulties in diagnosis mean that most treatments are begun empirically; amphotericin B remains the drug of choice. Emerging resistance may limit the usefulness of fluconazole and other azoles in some areas. Lipid preparations of amphotericin B have reduced the toxicity of this agent, but some issues of dosage and efficacy remain. Adjunctive treatments aimed at augmenting the host response to infection may have a role to play in deep fungal infection.
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