Research Article
Assessment of Posaconazole Salvage Therapy in Chronic Pulmonary Aspergillosis by Using Predefined Response Criteria
Author(s): Goncer IR, Harris C, Kosmidis C, Muldoon EG, Newton PJ and Denning DWGoncer IR, Harris C, Kosmidis C, Muldoon EG, Newton PJ and Denning DW
Objective: Chronic pulmonary aspergillosis (CPA) is a progressive infection that destroys lung tissue in immune competent patients. First-line therapies for CPA (itraconazole and/or voriconazole) are often curtailed due to toxicity or the development of drug resistance. Posaconazole is a potential alternative for these patients, but it is a high-cost medication.
Methods: Use of posaconazole was funded by the NHS Highly Specialised National Commissioners on an individual basis for patients who failed or did not tolerate first line therapy; those who met predefined criteria for improvement at 4 and 6 months (weight gain and/or improvement in St George’s Respiratory Questionnaire) continued posaconazole long-term. We recorded response, failure, discontinuation rates and adverse events.
Results: Seventy-eight patients .. Read More»
DOI:
10.4172/2472-1212.1000158
Journal of Antimicrobial Agents received 444 citations as per Google Scholar report