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- W2106085570 abstract "Invasive fungal infections (IFIs) have become high prevalence in patients with hematologic malignancies. Drug-based strategies for IFIs include various approaches such as prophylactic, empiric, preemptive, and directed treatment. Prophylaxis is an attractive strategy in high-risk patients, given the lack of reliable diagnostics and the high mortality rate associated with IFIs. Prophylaxis includes the use of antifungal drugs in all patients at risk. An ideal antifungal compound for prophylaxis should have a potent and broad activity, be available both orally and intravenously, and have a low toxicity profile. Voriconazole fulfills all these criteria. The clinical efficacy of voriconazole against the majority of fungal pathogens makes it potentially very useful for the prevention of IFIs in patients with hematologic malignancies. Voriconazole appears to be very effective for the primary and secondary prevention of IFIs in these patients and recipients of allogeneic hematopoietic stem-cell transplantation. Randomized controlled trials evaluating voriconazole as primary antifungal prophylaxis in patients with neutropenia treated for a variety of hematologic malignancies have been performed, confirming its value as a prophylactic agent. Voriconazole is generally safe and well tolerated; however, its use is also associated with a number of concerns. In most patients with hematologic malignancies there is the potential for pharmacokinetic drug–drug interactions given that voriconazole is metabolized through the P450 cytochrome system." @default.
- W2106085570 created "2016-06-24" @default.
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- W2106085570 creator A5036998050 @default.
- W2106085570 creator A5041128935 @default.
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- W2106085570 date "2013-03-27" @default.
- W2106085570 modified "2023-10-16" @default.
- W2106085570 title "Voriconazole and its clinical potential in the prophylaxis of systemic fungal infection in patients with hematologic malignancies: a perspective review" @default.
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- W2106085570 doi "https://doi.org/10.1177/2040620713481796" @default.
- W2106085570 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3666449" @default.
- W2106085570 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23730499" @default.
- W2106085570 hasPublicationYear "2013" @default.
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