Clinical pharmacology of antifungal agents in pediatrics: children are not small adults

Curr Opin Pharmacol. 2015 Oct:24:128-34. doi: 10.1016/j.coph.2015.08.009. Epub 2015 Sep 12.

Abstract

The optimal dosage information to improve the prognosis of invasive fungal infections in children and neonates is still limited and current dosing strategies are supported mainly by adult studies and extrapolation. Significant progress has been made to address this need in the last decade. Pre-clinical models and pharmacokinetic-pharmacodynamic (PK-PD) bridging studies supported by pediatric pharmacokinetic studies have investigated optimal dosing regimens for neonates and children. Here, we review the rationale for various antifungal regimens in infants and children.

Publication types

  • Review

MeSH terms

  • Adult
  • Antifungal Agents / pharmacokinetics*
  • Antifungal Agents / therapeutic use
  • Child
  • Echinocandins / pharmacokinetics*
  • Echinocandins / therapeutic use
  • Humans
  • Pediatrics
  • Pharmacology, Clinical
  • Polyenes / pharmacokinetics*
  • Polyenes / therapeutic use
  • Triazoles / pharmacokinetics*
  • Triazoles / therapeutic use

Substances

  • Antifungal Agents
  • Echinocandins
  • Polyenes
  • Triazoles