Page last updated: 2024-10-27

fluconazole and Critical Illness

fluconazole has been researched along with Critical Illness in 81 studies

Fluconazole: Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS.
fluconazole : A member of the class of triazoles that is propan-2-ol substituted at position 1 and 3 by 1H-1,2,4-triazol-1-yl groups and at position 2 by a 2,4-difluorophenyl group. It is an antifungal drug used for the treatment of mucosal candidiasis and for systemic infections including systemic candidiasis, coccidioidomycosis, and cryptococcosis.

Critical Illness: A disease or state in which death is possible or imminent.

Research Excerpts

ExcerptRelevanceReference
"To determine whether Candida glabrata colonization and invasive candidiasis (IC) increased among critically ill surgical patients 3 years after the introduction of fluconazole prophylaxis to a surgical intensive care unit (SICU)."9.14The epidemiology of Candida colonization and invasive candidiasis in a surgical intensive care unit where fluconazole prophylaxis is utilized: follow-up to a randomized clinical trial. ( Colantuoni, EA; Fothergill, AW; Hendrix, CW; Lipsett, PA; Magill, SS; Merz, WG; Shields, CE; Swoboda, SM, 2009)
"Two patients, a 77-yr-old man (case 1) with esophageal cancer and a 66-yr-old woman (case 2) with multiple organ failure developed reversible adrenal insufficiency temporally related to the institution and withdrawal of high-dose fluconazole."7.71Possible association between high-dose fluconazole and adrenal insufficiency in critically ill patients. ( Albert, SG; DeLeon, MJ; Silverberg, AB, 2001)
"To determine whether Candida glabrata colonization and invasive candidiasis (IC) increased among critically ill surgical patients 3 years after the introduction of fluconazole prophylaxis to a surgical intensive care unit (SICU)."5.14The epidemiology of Candida colonization and invasive candidiasis in a surgical intensive care unit where fluconazole prophylaxis is utilized: follow-up to a randomized clinical trial. ( Colantuoni, EA; Fothergill, AW; Hendrix, CW; Lipsett, PA; Magill, SS; Merz, WG; Shields, CE; Swoboda, SM, 2009)
"Prophylactic use of fluconazole in a selected group of mechanically ventilated patients at high risk for infection reduces the incidence of Candida infections, in particular candidemia."5.10Prevention of severe Candida infections in nonneutropenic, high-risk, critically ill patients: a randomized, double-blind, placebo-controlled trial in patients treated by selective digestive decontamination. ( Auckenthaler, R; Garbino, J; Hugonnet, S; Lew, DP; Pittet, D; Romand, JA, 2002)
", causing invasive candidiasis and an overall trend towards reduced fluconazole susceptibility."4.87Pharmacokinetic evaluation of fluconazole in critically ill patients. ( Lipman, J; Peake, SL; Playford, EG; Roberts, JA; Roberts, MS; Sinnollareddy, M, 2011)
"Recent clinical trials have documented the clinical efficacy of the echinocandins and the newer triazoles for the management of invasive candidiasis."4.84Antifungals in the ICU. ( Calandra, T; Eggimann, P; Playford, EG, 2008)
"Prophylactic fluconazole administration for prevention of mycoses in SICU patients appears to successfully decrease the rate of these infections, but this strategy does not improve survival."4.82Fluconazole prophylaxis in critically ill surgical patients: a meta-analysis. ( Chung, K; Jackson, WL; Kollef, MH; Shorr, AF; Waterman, PE, 2005)
"This study confirms that the use of azoles recommended for candidemia, mostly fluconazole, as a first-line therapy is a reasonable alternative to caspofungin for ICU patients in our institution."3.96Evaluation of first-line therapies for the treatment of candidemia in ICU patients: A propensity score analysis. ( Argaud, L; Aubrun, F; Bienvenu, AL; Chidiac, C; Fellahi, JL; Friggeri, A; Guerin, C; Guichon, C; Hernu, R; Leboucher, G; Menotti, J; Monard, C; Paulus, S; Piriou, V; Pradat, P; Rimmele, T, 2020)
"The objective of this study was to evaluate the impact of the empirical therapy with fluconazole or an echinocandin on 30- and 90-day mortality in critically ill patients with candidemia."3.88Initial Antifungal Strategy Reduces Mortality in Critically Ill Patients With Candidemia: A Propensity Score-Adjusted Analysis of a Multicenter Study. ( Arias-Verdú, D; Cantón-Bulnes, L; Díaz-Martín, A; Estella, Á; García-Garmendia, JL; Garnacho-Montero, J; Gordón, M; Loza-Vázquez, A; Ramírez, P; Rodríguez-Delgado, M; Rodriguez-Gomez, J; Sierra, R, 2018)
"Fluconazole is recommended as first-line treatment in invasive candidiasis in children and infants."3.80Insufficient fluconazole exposure in pediatric cancer patients and the need for therapeutic drug monitoring in critically ill children. ( Alffenaar, JW; Kosterink, JG; Pereboom, M; Schölvinck, EH; van den Heuvel, ER; van der Elst, KC, 2014)
"Fluconazole is the first line of therapy for the management of candidiasis."3.77The effect of cumulative length of hospital stay on the antifungal resistance of Candida strains isolated from critically ill surgical patients. ( Coleman, JJ; Kourkoumpetis, TK; Manolakaki, D; Mylonakis, E; Tampakakis, E; Velmahos, GC; Ziakas, PD, 2011)
"We evaluated whether the likelihood of developing invasive candidiasis (IC) differed depending upon the anatomic site of Candida colonization in 182 surgical intensive care unit (SICU) patients who participated in a randomized trial of fluconazole to prevent candidiasis."3.73The association between anatomic site of Candida colonization, invasive candidiasis, and mortality in critically ill surgical patients. ( Hendrix, CW; Johnson, EA; Lipsett, PA; Magill, SS; Merz, WG; Pelz, RK; Swoboda, SM, 2006)
"Two patients, a 77-yr-old man (case 1) with esophageal cancer and a 66-yr-old woman (case 2) with multiple organ failure developed reversible adrenal insufficiency temporally related to the institution and withdrawal of high-dose fluconazole."3.71Possible association between high-dose fluconazole and adrenal insufficiency in critically ill patients. ( Albert, SG; DeLeon, MJ; Silverberg, AB, 2001)
" The ECMO circuit can alter drug pharmacokinetics (PK); thus, standard fluconazole dosing may result in suboptimal drug exposures."2.80Fluconazole population pharmacokinetics and dosing for prevention and treatment of invasive Candidiasis in children supported with extracorporeal membrane oxygenation. ( Barrett, J; Benjamin, DK; Brouwer, KL; Capparelli, E; Cohen-Wolkowiez, M; Gonzalez, D; Wade, KC; Watt, KM, 2015)
"Anidulafungin was effective, safe and well tolerated for the treatment of C/IC in selected groups of ICU patients."2.77Anidulafungin for the treatment of candidaemia/invasive candidiasis in selected critically ill patients. ( Auzinger, G; Borges Sá, M; Dimopoulos, G; Grigoras, I; Kantecki, M; Marček, T; Meersseman, W; Menichetti, F; Miller, PJ; Montravers, P; Pachl, J; Paiva, JA; Ruhnke, M; Sganga, G, 2012)
" The bioavailability of enteral fluconazole was 51% +/- 30% in the open abdomen and 63% +/- 19% (p = 0."2.73Bioavailability of oral fluconazole in critically ill abdominal trauma patients with and without abdominal wall closure: a randomized crossover clinical trial. ( Alzamel, H; Barquist, ES; Block, EF; Collin, G; Gomez-Fein, E; Martinez, O, 2007)
"Mean fluconazole levels were above the highest MIC for C albicans and C parapsilosis in all but 5 patients (4%)."2.70Enteral fluconazole is well absorbed in critically ill surgical patients. ( Hendrix, CW; Lipsett, PA; Merz, W; Pelz, RK; Rinaldi, MG; Swoboda, SM, 2002)
"Six critically ill patients with acute renal failure (ARF) and serious fungal infection."2.69Influence of continuous veno-venous haemodiafiltration and continuous veno-venous haemofiltration on the pharmacokinetics of fluconazole. ( Bruch, HP; Iven, H; Martens, T; Muhl, E; Rob, P, 2000)
"Fluconazole alone was given to 27 patients, amphotericin B alone to 10, and sequential therapy to 6."2.68Candidemia in non-neutropenic critically ill patients: analysis of prognostic factors and assessment of systemic antifungal therapy. Study Group of Fungal Infection in the ICU. ( Ibáñez-Lucía, P; León-Gil, C; León-Regidor, MA; Martínez-González, J; Nolla-Salas, J; Sitges-Serra, A; Torres-Rodríguez, JM, 1997)
"Invasive fungal infections are important causes of morbidity and mortality among critically ill patients."2.53Antifungal agents for preventing fungal infections in non-neutropenic critically ill patients. ( Attanasio, M; Cortegiani, A; Giarratano, A; Maggiore, A; Naro, AR; Raineri, SM; Russotto, V, 2016)
" The median loading dose required to achieve the Cmin target appeared to be greater in patients with higher SOFA or GGT level and in patients undergoing renal replacement therapy."1.91Suboptimal exposure to fluconazole in critically ill patients: Pharmacokinetic analysis and determinants. ( Bienvenu, AL; Goutelle, S; Leboucher, G; Matusik, E; Parant, F; Piriou, V; Pradat, P; Rimmelé, T; Tod, M, 2023)
" Nonetheless, there is a lack in pharmacokinetics information for this population, and dosing criteria may vary between healthcare centers."1.91Model-informed precision dosing of antimicrobial drugs in pediatrics: experiences from a pilot scale program. ( Arriaga-García, FJ; Medellín-Garibay, SE; Milán-Segovia, RDC; Pérez-González, LF; Rodríguez-Báez, AS; Romano-Moreno, S; Velarde-Salcedo, R, 2023)
"Although "Candida pneumonia" is rarely being reported in critically ill patients, Candida airway colonization mainly by Candida albicans is common especially among patients with diabetes, malignancies, and kidney disorders."1.72Clinical impact of Candida respiratory tract colonization and acute lung infections in critically ill patients with COVID-19 pneumonia. ( Amiri, S; Erami, M; Fakhrehi, M; Getso, MI; Hashemi, SJ; Mehri, N; Momen-Heravi, M; Raiesi, O; Raissi, V; Yarahmadi, M, 2022)
"Current fluconazole dosing regimens do not achieve adequate early target attainment in critically ill adults, particularly in those who are overweight, have higher creatinine clearance, or are undergoing CRRT."1.62Current fluconazole treatment regimens result in under-dosing of critically ill adults during early therapy. ( Day, RO; Marriott, DJE; Norris, RLG; Pang, E; Reuter, SE; Sandaradura, I; Stocker, SL, 2021)
" Physiological changes in critically ill patients may affect the exposure of fluconazole, and therefore dosing adjustments might be needed."1.62Optimization of Fluconazole Dosing for the Prevention and Treatment of Invasive Candidiasis Based on the Pharmacokinetics of Fluconazole in Critically Ill Patients. ( Alffenaar, JWC; Boonstra, JM; Kosterink, JGW; Marriott, DJE; Märtson, AG; Sandaradura, I; Touw, DJ; van der Werf, TS; Zijlstra, JG, 2021)
"auris colonization/candidemia are similar to other Candida species."1.51Detection and treatment of Candida auris in an outbreak situation: risk factors for developing colonization and candidemia by this new species in critically ill patients. ( Alastruey-Izquierdo, A; Calabuig, E; Frasquet, J; López-Hontangas, JL; Martínez, H; Mollar, J; Moret, AM; Pemán, J; Ramírez, P; Ruiz-Gaitán, A; Salavert-Lletí, M; Tasias, M; Zaragoza, Ó, 2019)
"Although candidemia has been reported globally, little is known about the differences in candidemia episodes between ICU and surgical wards or the correlation between serum biomarkers and mortality from candidemia."1.48Clinical characteristics and predictors of mortality in patients with candidemia: a six-year retrospective study. ( Cao, J; Jia, X; Li, C; Wu, X; Zhang, L, 2018)
"The clinical context of underlying malignancy and hospitalization in ICU may be relevant to the initial management of candidemia."1.46The risk and clinical outcome of candidemia depending on underlying malignancy. ( Bretagne, S; Desnos-Ollivier, M; Dromer, F; Lortholary, O; Renaudat, C; Sitbon, K, 2017)
" We used previously-published fluconazole clearance data and PK data of critically-ill patients with acute kidney injury to develop a PK model with the goal of determining a therapeutic dosing regimen for critically-ill patients receiving PIRRT."1.43Fluconazole dosing predictions in critically-ill patients receiving prolonged intermittent renal replacement therapy: a Monte Carlo simulation approach. ( Gharibian, KN; Mueller, BA, 2016)
"Fluconazole is a widely used antifungal agent used to treat Candida spp."1.42Influence of sustained low-efficiency diafiltration (SLED-f) on interstitial fluid concentrations of fluconazole in a critically ill patient: Use of microdialysis. ( Lipman, J; Peake, SL; Roberts, JA; Roberts, MS; Sinnollareddy, MG, 2015)
"Current fluconazole dosing strategies can be described using either standardized doses (800 or 400 mg) or as weight-based dosing recommendations (12 mg/kg loading dose followed by 6 mg/kg maintenance dose)."1.40Fluconazole pharmacokinetics in a morbidly obese, critically ill patient receiving continuous venovenous hemofiltration. ( Lopez, ND; Phillips, KM, 2014)
"Fluconazole was more frequently used in medium size hospitals than in the large ones (60."1.38[Trends in systemic antifungal use in critically ill patients. Multicenter observational study, 2006-2010]. ( Alvarez-Lerma, F; Gimeno-Costa, R; Gracia-Arnillas, MP; Insausti-Ordeñana, J; López-Pueyo, MJ; Olaechea-Astigarraga, PM; Otal-Entraigas, JJ; Palomar-Martínez, M; Seijas-Betolaza, I, 2012)
" We performed Monte Carlo simulations to optimize dosing to appropriate pharmacodynamic endpoints for this population."1.37Population pharmacokinetics of fluconazole in critically ill patients receiving continuous venovenous hemodiafiltration: using Monte Carlo simulations to predict doses for specified pharmacodynamic targets. ( Deldot, ME; Kirkpatrick, CM; Lipman, J; Patel, K; Roberts, JA; Tett, SE, 2011)
"Anidulafungin as first-line treatment of C/IC appears to be of particular benefit to ICU patients, improving clinical outcomes and possibly decreasing costs, driven by reduced ICU and hospital stay, when compared with fluconazole."1.37Resource utilization and cost of treatment with anidulafungin or fluconazole for candidaemia and other forms of invasive candidiasis: focus on critically ill patients. ( Cartier, S; Chambers, R; Kett, DH; Maschio, M; Reboli, AC; Rotstein, C; Tarallo, M, 2011)
"glabrata fungemia were systematically recorded."1.36Early prediction of Candida glabrata fungemia in nonneutropenic critically ill patients. ( Adrie, C; Clec'h, C; Cohen, Y; Gauzit, R; Karoubi, P; Marsepoil, T; Zarka, D, 2010)
"The following pharmacokinetic variables for fluconazole were obtained: The mean volume distribution of steady state dosed at 400 mg every 12 h and 800 mg every 24 h were 0."1.32Pharmacokinetics and the most suitable dosing regimen of fluconazole in critically ill patients receiving continuous hemodiafiltration. ( Gando, S; Hirano, T; Iseki, K; Ishitani, T; Kameue, T; Matsuda, N; Yagasaki, K, 2003)
"Fluconazole patients were significantly more likely to have Candida cultured from sites associated with colonization (43% vs 2%; p < 0."1.32Impact of fluconazole administration on outcomes in critically ill patients. ( Garrelts, JC; Harrison, PB; Schroeder, TR, 2004)
"Fluconazole has gained wide use as an antifungal agent because of its efficacy, limited toxicity, and the paucity of reported drug interactions."1.29Rifampin-fluconazole interaction in critically ill patients. ( Crowe, HM; Nicolau, DP; Nightingale, CH; Quintiliani, R, 1995)

Research

Studies (81)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (6.17)18.2507
2000's28 (34.57)29.6817
2010's32 (39.51)24.3611
2020's16 (19.75)2.80

Authors

AuthorsStudies
Erami, M1
Raiesi, O1
Momen-Heravi, M1
Getso, MI1
Fakhrehi, M1
Mehri, N1
Yarahmadi, M1
Amiri, S1
Raissi, V1
Hashemi, SJ1
Wang, B1
Wang, Y3
Zhang, L2
Lu, F1
Zhang, M1
Xu, Y1
Bienvenu, AL2
Pradat, P2
Matusik, E1
Piriou, V2
Rimmelé, T2
Parant, F1
Tod, M1
Leboucher, G2
Goutelle, S1
De Pascale, G1
Martin-Loeches, I2
Nseir, S1
Velarde-Salcedo, R1
Pérez-González, LF1
Rodríguez-Báez, AS1
Arriaga-García, FJ1
Milán-Segovia, RDC1
Romano-Moreno, S1
Medellín-Garibay, SE1
Oladele, RO1
Ettu, AO1
Medugu, N1
Habib, A1
Egbagbe, E1
Osinaike, T1
Makanjuola, OB1
Ogunbosi, B1
Irowa, OO1
Ejembi, J1
Uwaezuoke, NS1
Adeleke, G1
Mutiu, B1
Ogunsola, F1
Rotimi, V1
McGuire, TM1
Hollingworth, SA1
Dong, Y2
Van Driel, ML1
Guerin, C1
Aubrun, F1
Fellahi, JL1
Friggeri, A1
Guichon, C1
Hernu, R1
Menotti, J1
Monard, C1
Paulus, S1
Chidiac, C1
Argaud, L1
Muilwijk, EW2
de Lange, DW1
Schouten, JA1
Wasmann, RE1
Ter Heine, R1
Burger, DM1
Colbers, A1
Haas, PJ1
Verweij, PE1
Pickkers, P1
Brüggemann, RJ1
Kara, E1
Bayraktar Ekincioglu, A1
Metan, G1
Brüggemann, RJM1
Boonstra, JM2
Märtson, AG2
Sandaradura, I4
Kosterink, JGW2
van der Werf, TS2
Marriott, DJE4
Zijlstra, JG2
Touw, DJ2
Alffenaar, JWC2
Wojciechowski, J1
Day, RO2
Stocker, S1
Reuter, SE2
Norris, RLG1
Pang, E1
Stocker, SL1
Van Daele, R1
Debaveye, Y1
Lagrou, K1
Spriet, I1
Papadimitriou-Olivgeris, M2
Spiliopoulou, A2
Fligou, F2
Tsiata, E1
Kolonitsiou, F1
Nikolopoulou, A1
Papamichail, C1
Spiliopoulou, I2
Marangos, M2
Christofidou, M2
Lortholary, O2
Renaudat, C1
Sitbon, K1
Desnos-Ollivier, M1
Bretagne, S1
Dromer, F1
Xie, J1
Xing, Y1
Chen, L1
Li, Y1
Meng, T1
Dong, W1
Wang, X1
Garnacho-Montero, J2
Díaz-Martín, A1
Cantón-Bulnes, L1
Ramírez, P2
Sierra, R1
Arias-Verdú, D1
Rodríguez-Delgado, M1
Loza-Vázquez, A1
Rodriguez-Gomez, J1
Gordón, M1
Estella, Á1
García-Garmendia, JL1
Jia, X1
Li, C1
Cao, J1
Wu, X1
Antonelli, M1
Cuenca-Estrella, M1
Dimopoulos, G3
Einav, S1
De Waele, JJ2
Kanj, SS1
Machado, FR1
Montravers, P4
Sakr, Y1
Sanguinetti, M2
Timsit, JF4
Bassetti, M3
Ruiz-Gaitán, A1
Martínez, H1
Moret, AM1
Calabuig, E1
Tasias, M1
Alastruey-Izquierdo, A1
Zaragoza, Ó1
Mollar, J1
Frasquet, J1
Salavert-Lletí, M1
López-Hontangas, JL1
Pemán, J2
Dreyfuss, D1
Ricard, JD1
Gaudry, S1
Massanet, P1
Jung, B1
Molinari, N1
Villiet, M1
Moulaire, V1
Roch-Torreilles, I1
Jaber, S1
Reynes, J1
Corne, P1
Lopez, ND1
Phillips, KM1
van der Elst, KC1
Pereboom, M1
van den Heuvel, ER1
Kosterink, JG1
Schölvinck, EH1
Alffenaar, JW1
Manolopoulou, P1
Vrettos, T1
Dodou, V1
Filos, KS1
Anastassiou, ED1
Chen, SC1
Sorrell, TC3
Chang, CC1
Paige, EK1
Bryant, PA1
Slavin, MA1
Bailly, S2
Bouadma, L1
Azoulay, E2
Orgeas, MG1
Adrie, C2
Souweine, B1
Schwebel, C1
Maubon, D1
Hamidfar-Roy, R1
Darmon, M1
Wolff, M1
Cornet, M1
Sinnollareddy, MG2
Roberts, JA5
Lipman, J4
Akova, M1
Kaukonen, KM1
Koulenti, D1
Martin, C1
Rello, J1
Rhodes, A1
Starr, T1
Wallis, SC2
Roberts, MS2
Peake, SL2
Ferreira, D1
Grenouillet, F1
Blasco, G1
Samain, E1
Hénon, T1
Dussaucy, A1
Millon, L1
Mercier, M1
Pili-Floury, S1
Watt, KM1
Gonzalez, D1
Benjamin, DK1
Brouwer, KL1
Wade, KC1
Capparelli, E1
Barrett, J1
Cohen-Wolkowiez, M1
Leon, C1
Leroy, O1
Constantin, JM1
Dupont, H1
Guillemot, D1
Mira, JP1
Perrigault, PF1
Gangneux, JP1
Shekar, K1
Barnett, AG1
Diab, S1
Fung, YL1
Fraser, JF1
van der Geest, PJ1
Rijnders, BJ1
Vonk, AG1
Groeneveld, AB1
Cortegiani, A1
Russotto, V1
Maggiore, A1
Attanasio, M1
Naro, AR1
Raineri, SM1
Giarratano, A1
Gharibian, KN1
Mueller, BA1
Playford, EG4
Eggimann, P1
Calandra, T2
Magill, SS3
Swoboda, SM5
Shields, CE1
Colantuoni, EA1
Fothergill, AW1
Merz, WG3
Lipsett, PA5
Hendrix, CW5
Borges Sá, M2
Garnacho Montero, J1
Cohen, Y1
Karoubi, P1
Gauzit, R1
Marsepoil, T1
Zarka, D1
Clec'h, C1
Kourkoumpetis, TK1
Velmahos, GC1
Ziakas, PD1
Tampakakis, E1
Manolakaki, D1
Coleman, JJ1
Mylonakis, E1
Reboli, AC1
Rotstein, C1
Kett, DH1
Maschio, M1
Cartier, S1
Chambers, R1
Tarallo, M1
Sinnollareddy, M1
Patel, K1
Tett, SE1
Deldot, ME1
Kirkpatrick, CM1
Ruhnke, M1
Paiva, JA1
Meersseman, W1
Pachl, J1
Grigoras, I1
Sganga, G1
Menichetti, F1
Auzinger, G1
Miller, PJ1
Marček, T1
Kantecki, M1
Olaechea-Astigarraga, PM1
Alvarez-Lerma, F1
Palomar-Martínez, M1
Insausti-Ordeñana, J1
López-Pueyo, MJ1
Seijas-Betolaza, I1
Otal-Entraigas, JJ1
Gimeno-Costa, R1
Gracia-Arnillas, MP1
Garbino, J2
Lew, DP1
Romand, JA1
Hugonnet, S1
Auckenthaler, R1
Pittet, D1
Marchetti, O1
Van Saene, HK1
Silvestri, L1
Petros, A1
Viviani, M1
de la Cal, MA1
Zandstra, DF1
Yagasaki, K1
Gando, S1
Matsuda, N1
Kameue, T1
Ishitani, T1
Hirano, T1
Iseki, K1
Puthanakit, T1
Carson, KA1
Salvatori, R1
Garrelts, JC1
Schroeder, TR1
Harrison, PB1
Takesue, Y1
Liolios, A1
Gressens, B1
Leonard, I1
Coche, E1
Hantson, P1
Shorr, AF2
Chung, K1
Jackson, WL2
Waterman, PE1
Kollef, MH2
Webster, AC2
Craig, JC2
Johnson, EA1
Pelz, RK3
Zaragoza, R1
Santhana Krishnan, SG1
Cobbs, RK1
Lazarus, DR1
Sherner, JH1
Morrel, M1
Fraser, VJ1
Barquist, ES1
Gomez-Fein, E1
Block, EF1
Collin, G1
Alzamel, H1
Martinez, O1
Christensen, S1
Buhl, M1
Tønnesen, EK1
Huang, CT1
Leu, HS1
Nassoura, Z1
Ivatury, RR1
Simon, RJ1
Jabbour, N1
Stahl, WM1
Zervos, EE1
Bass, SS1
Robson, MC1
Rosemurgy, AS1
Nicolau, DP1
Crowe, HM1
Nightingale, CH1
Quintiliani, R1
Nolla-Salas, J1
Sitges-Serra, A1
León-Gil, C1
Martínez-González, J1
León-Regidor, MA1
Ibáñez-Lucía, P1
Torres-Rodríguez, JM1
Rocco, TR1
Reinert, SE1
Simms, HH1
Blot, SI1
Hoste, EA1
Vandewoude, KH1
Colardyn, FA1
Muhl, E1
Martens, T1
Iven, H1
Rob, P1
Bruch, HP1
Diener-West, M1
Hammond, J1
Albert, SG1
DeLeon, MJ1
Silverberg, AB1
Posteraro, B1
Valentini, P1
Delogu, A1
De, RG1
Boccacci, S1
Nacci, A1
Sopo, SM1
Ranno, O1
Morace, G1
Fadda, G1
Merz, W1
Rinaldi, MG1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Evaluation of a Clinical Decision Support System for the Treatment of Invasive Fungal Infections[NCT05656157]100 participants (Anticipated)Observational2022-12-01Active, not recruiting
Pharmacokinetics of Fluconazole Given Intravenously as Prophylaxis or Therapy to Patients With an Invasive Fungal Infection in the Intensive Care Unit (PACIFIC)[NCT02666716]20 participants (Actual)Observational2015-05-31Completed
Fluconazole Exposure in Critically Ill Patients and the Value of Therapeutic Drug Monitoring[NCT02491151]50 participants (Actual)Observational2014-10-31Completed
Candida in the Respiratory Tract Secretions of Critically Ill Patients and The Efficacy of Antifungal Treatment (The CANTREAT Study): A Prospective, Randomized, Double Blind, Placebo Controlled Pilot Study[NCT00934934]Phase 261 participants (Actual)Interventional2010-04-30Terminated (stopped due to slow enrollment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

(SOFA) Post Randomization

Sequential organ failure assessment. 0-24 The higher the number the more severe organ failure (NCT00934934)
Timeframe: post randomization

Interventionscore on a scale (Mean)
Placebo5.9
Antifungal5.9

Antibiotic Free Days 28-day Post Randomization

Number of days free of antibiotic use within the first 28 days (NCT00934934)
Timeframe: 28 days

Interventiondays (Median)
Placebo16
Antifungal10

B-glucan Levels

(NCT00934934)
Timeframe: 28 days

Interventionpg/ml (Mean)
VAP withCandida116
VAP Without Candida129.1

C-reactive Protein

(NCT00934934)
Timeframe: 28 days

Interventionmg/l (Mean)
VAP withCandida133
VAP Without Candida145.7

Duration of Stay in ICU

Measure of the duration of participant stay in the ICU (NCT00934934)
Timeframe: 28 days

Interventiondays (Median)
Placebo11.5
Antifungal13

Hospital Length of Stay

Measure of the duration of the participant's hospital stay (NCT00934934)
Timeframe: 90 days

Interventiondays (Median)
Placebo29
Antifungal28

ICU Free Days

Number of days free of ICU (NCT00934934)
Timeframe: 28 days

Interventiondays (Median)
Placebo14
Antifungal4

Interleukin-6

(NCT00934934)
Timeframe: 28 days

Interventionpg/ml (Mean)
VAP withCandida97.5
VAP Without Candida3

Overall Recruitment Rate

Overall recruitment rate per site (NCT00934934)
Timeframe: 32 months

Interventionparticipants per site /month (Number)
Overall0.6

Sequential Procalcitonin

(NCT00934934)
Timeframe: 28 days

Interventionng/ml (Mean)
VAP withCandida3.0
VAP Without Candida22.5

Ventilator Free Days

Number of days in ICU free of ventilation (NCT00934934)
Timeframe: 28 days

Interventiondays (Median)
Placebo8
Antifungal9

Reviews

13 reviews available for fluconazole and Critical Illness

ArticleYear
Antifungal agents for invasive candidiasis in non-neutropenic critically ill adults: What do the guidelines recommend?
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2019, Volume: 89

    Topics: Antifungal Agents; Candidiasis, Invasive; Critical Illness; Echinocandins; Fluconazole; Humans; Prac

2019
Choosing Optimal Antifungal Agents To Prevent Fungal Infections in Nonneutropenic Critically Ill Patients: Trial Sequential Analysis, Network Meta-analysis, and Pharmacoeconomic Analysis.
    Antimicrobial agents and chemotherapy, 2017, Volume: 61, Issue:12

    Topics: Antifungal Agents; Caspofungin; Cost-Benefit Analysis; Critical Illness; Echinocandins; Economics, P

2017
Consensus guidelines for the treatment of yeast infections in the haematology, oncology and intensive care setting, 2014.
    Internal medicine journal, 2014, Volume: 44, Issue:12b

    Topics: Adolescent; Adult; Antifungal Agents; Candidiasis, Invasive; Child; Child, Preschool; Consensus; Cri

2014
Antifungal agents for preventing fungal infections in non-neutropenic critically ill patients.
    The Cochrane database of systematic reviews, 2016, Jan-16, Issue:1

    Topics: Adult; Amphotericin B; Antifungal Agents; Critical Illness; Fluconazole; Humans; Immunocompromised H

2016
Antifungals in the ICU.
    Current opinion in infectious diseases, 2008, Volume: 21, Issue:6

    Topics: Antifungal Agents; Candida; Candidiasis; Critical Illness; Echinocandins; Fluconazole; Humans; Inten

2008
[Role of anidulafungin in critically ill patients].
    Enfermedades infecciosas y microbiologia clinica, 2008, Volume: 26 Suppl 14

    Topics: Amphotericin B; Anidulafungin; Antifungal Agents; Candidiasis; Clinical Trials as Topic; Critical Il

2008
Pharmacokinetic evaluation of fluconazole in critically ill patients.
    Expert opinion on drug metabolism & toxicology, 2011, Volume: 7, Issue:11

    Topics: Antifungal Agents; Candidiasis; Candidiasis, Invasive; Critical Illness; Drug Evaluation; Fluconazol

2011
[Strategy for the treatment of fungal infections in critically ill surgical patients].
    Nihon Ishinkin Gakkai zasshi = Japanese journal of medical mycology, 2004, Volume: 45, Issue:4

    Topics: beta-Glucans; Candidiasis; Critical Illness; Fluconazole; Humans

2004
Fluconazole prophylaxis in critically ill surgical patients: a meta-analysis.
    Critical care medicine, 2005, Volume: 33, Issue:9

    Topics: Antifungal Agents; Candidiasis; Critical Illness; Double-Blind Method; Drug Resistance, Fungal; Drug

2005
Antifungal agents for preventing fungal infections in non-neutropenic critically ill patients.
    The Cochrane database of systematic reviews, 2006, Jan-25, Issue:1

    Topics: Adult; Amphotericin B; Antifungal Agents; Critical Illness; Fluconazole; Humans; Immunocompromised H

2006
Antifungal agents for preventing fungal infections in non-neutropenic critically ill and surgical patients: systematic review and meta-analysis of randomized clinical trials.
    The Journal of antimicrobial chemotherapy, 2006, Volume: 57, Issue:4

    Topics: Adult; Antifungal Agents; Critical Illness; Fluconazole; Humans; Immunocompromised Host; Incidence;

2006
Invasive fungal infections in critically ill patients: different therapeutic options and a uniform strategy.
    Revista iberoamericana de micologia, 2006, Volume: 23, Issue:2

    Topics: Amphotericin B; Antifungal Agents; Candidiasis; Critical Illness; Cross Infection; Deoxycholic Acid;

2006
[Prophylactic antifungal treatment in critically ill patients. A survey of a Cochrane review].
    Ugeskrift for laeger, 2008, Jan-07, Volume: 170, Issue:1

    Topics: Adult; Antifungal Agents; Critical Illness; Evidence-Based Medicine; Fluconazole; Humans; Immunocomp

2008

Trials

13 trials available for fluconazole and Critical Illness

ArticleYear
Fluconazole population pharmacokinetics and dosing for prevention and treatment of invasive Candidiasis in children supported with extracorporeal membrane oxygenation.
    Antimicrobial agents and chemotherapy, 2015, Volume: 59, Issue:7

    Topics: Administration, Intravenous; Adolescent; Antifungal Agents; Body Weight; Candidiasis, Invasive; Chil

2015
The epidemiology of Candida colonization and invasive candidiasis in a surgical intensive care unit where fluconazole prophylaxis is utilized: follow-up to a randomized clinical trial.
    Annals of surgery, 2009, Volume: 249, Issue:4

    Topics: Academic Medical Centers; Adolescent; Adult; Aged; Aged, 80 and over; Antifungal Agents; Candida gla

2009
Anidulafungin for the treatment of candidaemia/invasive candidiasis in selected critically ill patients.
    Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2012, Volume: 18, Issue:7

    Topics: Adult; Aged; Aged, 80 and over; Anidulafungin; Antifungal Agents; Candida; Candidiasis, Invasive; Cr

2012
Prevention of severe Candida infections in nonneutropenic, high-risk, critically ill patients: a randomized, double-blind, placebo-controlled trial in patients treated by selective digestive decontamination.
    Intensive care medicine, 2002, Volume: 28, Issue:12

    Topics: Aged; Antibiotic Prophylaxis; Antifungal Agents; Candidiasis; Chi-Square Distribution; Critical Illn

2002
Comment on "Prevention of severe Candida infections in non-neutropenic, high-risk, critically ill patients," by Garbino et al.
    Intensive care medicine, 2003, Volume: 29, Issue:7

    Topics: Antifungal Agents; Candidiasis; Critical Illness; Fluconazole; Humans; Neutropenia; Placebos; Risk F

2003
Impact of fluconazole prophylaxis on cortisol levels in critically ill surgical patients.
    Antimicrobial agents and chemotherapy, 2004, Volume: 48, Issue:7

    Topics: Adrenal Gland Diseases; Adult; Aged; Aged, 80 and over; Antibiotic Prophylaxis; Antifungal Agents; C

2004
Fluconazole prophylaxis for critically ill patients at high risk for Candida infection.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2005, Dec-01, Volume: 41, Issue:11

    Topics: Antifungal Agents; Candidiasis; Critical Illness; Fluconazole; Fungemia; Humans

2005
Bioavailability of oral fluconazole in critically ill abdominal trauma patients with and without abdominal wall closure: a randomized crossover clinical trial.
    The Journal of trauma, 2007, Volume: 63, Issue:1

    Topics: Abdominal Injuries; Abdominal Wall; Administration, Oral; Adult; Antifungal Agents; Area Under Curve

2007
Candiduria as an early marker of disseminated infection in critically ill surgical patients: the role of fluconazole therapy.
    The Journal of trauma, 1993, Volume: 35, Issue:2

    Topics: Adult; Aged; Amphotericin B; Bacterial Infections; Candidiasis; Cause of Death; Colony Count, Microb

1993
Candidemia in non-neutropenic critically ill patients: analysis of prognostic factors and assessment of systemic antifungal therapy. Study Group of Fungal Infection in the ICU.
    Intensive care medicine, 1997, Volume: 23, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amphotericin B; Antifungal Agents; APACHE; Candidiasis;

1997
Influence of continuous veno-venous haemodiafiltration and continuous veno-venous haemofiltration on the pharmacokinetics of fluconazole.
    European journal of clinical pharmacology, 2000, Volume: 56, Issue:9-10

    Topics: Acute Kidney Injury; Aged; Antifungal Agents; Area Under Curve; Bronchoalveolar Lavage Fluid; Candid

2000
Double-blind placebo-controlled trial of fluconazole to prevent candidal infections in critically ill surgical patients.
    Annals of surgery, 2001, Volume: 233, Issue:4

    Topics: Aged; Antifungal Agents; APACHE; Candidiasis; Critical Illness; Double-Blind Method; Female; Flucona

2001
Enteral fluconazole is well absorbed in critically ill surgical patients.
    Surgery, 2002, Volume: 131, Issue:5

    Topics: Absorption; Adult; Aged; Aged, 80 and over; Antifungal Agents; Critical Illness; Female; Fluconazole

2002

Other Studies

55 other studies available for fluconazole and Critical Illness

ArticleYear
Clinical impact of Candida respiratory tract colonization and acute lung infections in critically ill patients with COVID-19 pneumonia.
    Microbial pathogenesis, 2022, Volume: 166

    Topics: Amphotericin B; Antifungal Agents; Candida; Candida albicans; Candida glabrata; Candidiasis; Caspofu

2022
Surveillance Study of Epidemiology, Antifungal Susceptibility and Risk Factors of Invasive Candidiasis in Critically ill Patients.
    Clinical laboratory, 2022, Jun-01, Volume: 68, Issue:6

    Topics: Amphotericin B; Antifungal Agents; Candida; Candidiasis; Candidiasis, Invasive; Critical Illness; Dr

2022
Suboptimal exposure to fluconazole in critically ill patients: Pharmacokinetic analysis and determinants.
    Infectious diseases now, 2023, Volume: 53, Issue:2

    Topics: Adolescent; Adult; Antifungal Agents; Cohort Studies; Critical Illness; Fluconazole; Humans

2023
Antifungal stewardship in critically ill patients.
    Intensive care medicine, 2023, Volume: 49, Issue:6

    Topics: Antifungal Agents; Critical Illness; Fluconazole; Humans; Immunocompromised Host

2023
Model-informed precision dosing of antimicrobial drugs in pediatrics: experiences from a pilot scale program.
    European journal of pediatrics, 2023, Volume: 182, Issue:9

    Topics: Anti-Bacterial Agents; Bayes Theorem; Child; Clindamycin; Critical Illness; Fluconazole; Humans; Lin

2023
Antibiotic Guidelines for Critically Ill Patients in Nigeria.
    West African journal of medicine, 2023, Sep-28, Volume: 40, Issue:9

    Topics: Amikacin; Anti-Bacterial Agents; Anti-Infective Agents; Ceftriaxone; Clavulanic Acid; Community-Acqu

2023
Evaluation of first-line therapies for the treatment of candidemia in ICU patients: A propensity score analysis.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2020, Volume: 93

    Topics: Aged; Antifungal Agents; Candidemia; Caspofungin; Cohort Studies; Critical Illness; Female; Fluconaz

2020
Suboptimal Dosing of Fluconazole in Critically Ill Patients: Time To Rethink Dosing.
    Antimicrobial agents and chemotherapy, 2020, 09-21, Volume: 64, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Candidiasis; Continuous Renal Replacement The

2020
Might Confounding Factors Have an Effect on Suboptimal Dosing of Fluconazole in Critically Ill Patients?
    Antimicrobial agents and chemotherapy, 2021, 01-20, Volume: 65, Issue:2

    Topics: Antifungal Agents; Critical Illness; Fluconazole; Humans; Microbial Sensitivity Tests

2021
Reply to Kara et al., "Might Confounding Factors Have an Effect on Suboptimal Dosing of Fluconazole in Critically Ill Patients?"
    Antimicrobial agents and chemotherapy, 2021, 01-20, Volume: 65, Issue:2

    Topics: Antifungal Agents; Critical Illness; Fluconazole; Humans; Microbial Sensitivity Tests

2021
Optimization of Fluconazole Dosing for the Prevention and Treatment of Invasive Candidiasis Based on the Pharmacokinetics of Fluconazole in Critically Ill Patients.
    Antimicrobial agents and chemotherapy, 2021, 02-17, Volume: 65, Issue:3

    Topics: Adult; Anti-Bacterial Agents; Candidiasis, Invasive; Critical Illness; Fluconazole; Humans; Microbia

2021
Model-Optimized Fluconazole Dose Selection for Critically Ill Patients Improves Early Pharmacodynamic Target Attainment without the Need for Therapeutic Drug Monitoring.
    Antimicrobial agents and chemotherapy, 2021, 02-17, Volume: 65, Issue:3

    Topics: Adult; Candidiasis, Invasive; Critical Illness; Drug Monitoring; Echinocandins; Fluconazole; Humans

2021
Current fluconazole treatment regimens result in under-dosing of critically ill adults during early therapy.
    European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2021, Volume: 40, Issue:7

    Topics: Antifungal Agents; Candida; Candidemia; Critical Illness; Dose-Response Relationship, Drug; Drug Mon

2021
Reply to Van Daele et al., "Fluconazole Underexposure in Critically Ill Patients: a Matter of Using the Right Targets?"
    Antimicrobial agents and chemotherapy, 2021, 05-18, Volume: 65, Issue:6

    Topics: Candidiasis, Invasive; Critical Illness; Fluconazole; Humans

2021
Fluconazole Underexposure in Critically Ill Patients: a Matter of Using the Right Targets?
    Antimicrobial agents and chemotherapy, 2021, 05-18, Volume: 65, Issue:6

    Topics: Candidiasis, Invasive; Critical Illness; Fluconazole; Humans

2021
Risk factors for isolation of fluconazole and echinocandin non-susceptible
    Journal of medical microbiology, 2021, Volume: 70, Issue:8

    Topics: Antifungal Agents; Candida; Candidiasis; Critical Illness; Drug Resistance, Fungal; Fluconazole; Gre

2021
The risk and clinical outcome of candidemia depending on underlying malignancy.
    Intensive care medicine, 2017, Volume: 43, Issue:5

    Topics: Adult; Aged; Antifungal Agents; Candida; Candidemia; Critical Illness; Female; Fluconazole; Humans;

2017
Initial Antifungal Strategy Reduces Mortality in Critically Ill Patients With Candidemia: A Propensity Score-Adjusted Analysis of a Multicenter Study.
    Critical care medicine, 2018, Volume: 46, Issue:3

    Topics: Aged; Antifungal Agents; Candida; Candidemia; Critical Illness; Echinocandins; Female; Fluconazole;

2018
Clinical characteristics and predictors of mortality in patients with candidemia: a six-year retrospective study.
    European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2018, Volume: 37, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Antifungal Agents; Candida; Candi

2018
ESICM/ESCMID task force on practical management of invasive candidiasis in critically ill patients.
    Intensive care medicine, 2019, Volume: 45, Issue:6

    Topics: Antifungal Agents; Candidiasis, Invasive; Critical Illness; Delphi Technique; Disease Management; Ec

2019
Detection and treatment of Candida auris in an outbreak situation: risk factors for developing colonization and candidemia by this new species in critically ill patients.
    Expert review of anti-infective therapy, 2019, Volume: 17, Issue:4

    Topics: Adult; Aged; Antifungal Agents; Candida; Candidemia; Case-Control Studies; Critical Illness; Disease

2019
Amphotericin B deoxycholate for candidiasis in intensive care unit patients revisited: medical, ethical, and financial implications.
    American journal of respiratory and critical care medicine, 2013, Mar-15, Volume: 187, Issue:6

    Topics: Amphotericin B; Antifungal Agents; Candidiasis; Creatinine; Critical Illness; Cross Infection; Deoxy

2013
EPICO PROJECT. Development of educational recommendations using the DELPHI technique on invasive candidiasis in non- neutropenic critically ill adult patients.
    Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2013, Volume: 26, Issue:2

    Topics: Antifungal Agents; Candida; Candidiasis, Invasive; Consensus; Critical Illness; Delphi Technique; Ec

2013
[Antifungal treatment for suspected or proved candidiasis in the critically ill].
    Annales francaises d'anesthesie et de reanimation, 2014, Volume: 33, Issue:4

    Topics: Adult; Aged; Antifungal Agents; Candida albicans; Candidiasis; Critical Illness; Drug Utilization; E

2014
Fluconazole pharmacokinetics in a morbidly obese, critically ill patient receiving continuous venovenous hemofiltration.
    Pharmacotherapy, 2014, Volume: 34, Issue:9

    Topics: Antifungal Agents; Area Under Curve; Critical Illness; Drug Monitoring; Fluconazole; Half-Life; Hemo

2014
Insufficient fluconazole exposure in pediatric cancer patients and the need for therapeutic drug monitoring in critically ill children.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2014, Dec-01, Volume: 59, Issue:11

    Topics: Adolescent; Antifungal Agents; Candidiasis; Child; Child, Preschool; Critical Illness; Drug Monitori

2014
Association of KPC-producing Klebsiella pneumoniae colonization or infection with Candida isolation and selection of non-albicans species.
    Diagnostic microbiology and infectious disease, 2014, Volume: 80, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Antifungal Agents; beta-Lactamases; Candida; Candidiasis; Carrier St

2014
Failure of empirical systemic antifungal therapy in mechanically ventilated critically ill patients.
    American journal of respiratory and critical care medicine, 2015, May-15, Volume: 191, Issue:10

    Topics: Aged; Antifungal Agents; Candidiasis, Invasive; Critical Illness; Databases, Factual; Female; Flucon

2015
Pharmacokinetic variability and exposures of fluconazole, anidulafungin, and caspofungin in intensive care unit patients: Data from multinational Defining Antibiotic Levels in Intensive care unit (DALI) patients Study.
    Critical care (London, England), 2015, Feb-04, Volume: 19

    Topics: Aged; Anidulafungin; Antifungal Agents; Caspofungin; Critical Illness; Drug Monitoring; Echinocandin

2015
Influence of sustained low-efficiency diafiltration (SLED-f) on interstitial fluid concentrations of fluconazole in a critically ill patient: Use of microdialysis.
    International journal of antimicrobial agents, 2015, Volume: 46, Issue:1

    Topics: Adult; Antifungal Agents; Chromatography; Critical Illness; Extracellular Fluid; Fluconazole; HIV In

2015
Outcomes associated with routine systemic antifungal therapy in critically ill patients with Candida colonization.
    Intensive care medicine, 2015, Volume: 41, Issue:6

    Topics: Adult; Aged; Antifungal Agents; Candida; Candidiasis; Critical Care Outcomes; Critical Illness; Cros

2015
Are prophylactic antifungals in highly colonized patients safe and effective?
    Intensive care medicine, 2015, Volume: 41, Issue:7

    Topics: Antifungal Agents; Candida; Candidiasis; Critical Illness; Female; Fluconazole; Humans; Male

2015
Antifungal de-escalation was not associated with adverse outcome in critically ill patients treated for invasive candidiasis: post hoc analyses of the AmarCAND2 study data.
    Intensive care medicine, 2015, Volume: 41, Issue:11

    Topics: Aged; Antifungal Agents; Candidiasis, Invasive; Comorbidity; Critical Illness; Disease Progression;

2015
Can physicochemical properties of antimicrobials be used to predict their pharmacokinetics during extracorporeal membrane oxygenation? Illustrative data from ovine models.
    Critical care (London, England), 2015, Dec-15, Volume: 19

    Topics: Animals; Anti-Infective Agents; Carbapenems; Caspofungin; Ceftriaxone; Ciprofloxacin; Critical Illne

2015
Echinocandin to fluconazole step-down therapy in critically ill patients with invasive, susceptible Candida albicans infections.
    Mycoses, 2016, Volume: 59, Issue:3

    Topics: Administration, Intravenous; Adult; Aged; Anidulafungin; Antifungal Agents; Candidiasis, Invasive; C

2016
Fluconazole dosing predictions in critically-ill patients receiving prolonged intermittent renal replacement therapy: a Monte Carlo simulation approach.
    Clinical nephrology, 2016, Volume: 86, Issue:7

    Topics: Acute Kidney Injury; Antifungal Agents; Area Under Curve; Candidiasis; Computer Simulation; Critical

2016
Early prediction of Candida glabrata fungemia in nonneutropenic critically ill patients.
    Critical care medicine, 2010, Volume: 38, Issue:3

    Topics: Adult; Aged; Antifungal Agents; Candida glabrata; Candidiasis; Cohort Studies; Critical Care; Critic

2010
The effect of cumulative length of hospital stay on the antifungal resistance of Candida strains isolated from critically ill surgical patients.
    Mycopathologia, 2011, Volume: 171, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Antifungal Agents; Candida; Candidiasis; Critical Illness; Drug Resi

2011
Resource utilization and cost of treatment with anidulafungin or fluconazole for candidaemia and other forms of invasive candidiasis: focus on critically ill patients.
    PharmacoEconomics, 2011, Volume: 29, Issue:8

    Topics: Adult; Aged; Anidulafungin; Antifungal Agents; Candidemia; Candidiasis, Invasive; Clinical Trials, P

2011
Population pharmacokinetics of fluconazole in critically ill patients receiving continuous venovenous hemodiafiltration: using Monte Carlo simulations to predict doses for specified pharmacodynamic targets.
    Antimicrobial agents and chemotherapy, 2011, Volume: 55, Issue:12

    Topics: Aged; Antifungal Agents; Anuria; Critical Illness; Dose-Response Relationship, Drug; Drug Administra

2011
[Trends in systemic antifungal use in critically ill patients. Multicenter observational study, 2006-2010].
    Enfermedades infecciosas y microbiologia clinica, 2012, Volume: 30, Issue:8

    Topics: Amphotericin B; Antifungal Agents; Caspofungin; Community-Acquired Infections; Critical Illness; Cro

2012
Antifungal prophylaxis for intensive care unit patients: let's fine tune it.
    Intensive care medicine, 2002, Volume: 28, Issue:12

    Topics: Antifungal Agents; Candidiasis; Critical Illness; Cross Infection; Fluconazole; Humans; Intensive Ca

2002
Pharmacokinetics and the most suitable dosing regimen of fluconazole in critically ill patients receiving continuous hemodiafiltration.
    Intensive care medicine, 2003, Volume: 29, Issue:10

    Topics: Adult; Aged; Antifungal Agents; Critical Illness; Female; Fluconazole; Hemodiafiltration; Humans; Ma

2003
Impact of fluconazole administration on outcomes in critically ill patients.
    The Annals of pharmacotherapy, 2004, Volume: 38, Issue:10

    Topics: Adult; Antifungal Agents; Candida; Candidiasis; Case-Control Studies; Critical Illness; Female; Fluc

2004
Candida albicans lung abscess sensitive to fluconazole and responding only to amphotericin B in a non-immunocompromised critically ill patient.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2005, Volume: 52, Issue:5

    Topics: Amphotericin B; Antifungal Agents; Candida albicans; Candidiasis; Critical Illness; Fluconazole; Hum

2005
The association between anatomic site of Candida colonization, invasive candidiasis, and mortality in critically ill surgical patients.
    Diagnostic microbiology and infectious disease, 2006, Volume: 55, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antifungal Agents; APACHE; Candida; Candidiasis; Critica

2006
Reversible acute adrenal insufficiency caused by fluconazole in a critically ill patient.
    Postgraduate medical journal, 2006, Volume: 82, Issue:971

    Topics: Acute Disease; Adrenal Insufficiency; Adult; Antifungal Agents; Critical Illness; Fluconazole; Human

2006
Do clinical features allow for accurate prediction of fungal pathogenesis in bloodstream infections? Potential implications of the increasing prevalence of non-albicans candidemia.
    Critical care medicine, 2007, Volume: 35, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antifungal Agents; Candida; Candida albicans; Candida glabrata; Cand

2007
Candiduria as an early marker of disseminated infection in critically ill surgical patients.
    The Journal of trauma, 1995, Volume: 39, Issue:3

    Topics: Amphotericin B; Antifungal Agents; Candida; Candidiasis; Critical Illness; Fluconazole; Humans; Surg

1995
Fluconazole increases bactericidal activity of neutrophils.
    The Journal of trauma, 1996, Volume: 41, Issue:1

    Topics: Antifungal Agents; Blood Bactericidal Activity; Critical Illness; Escherichia coli; Fluconazole; Hum

1996
Rifampin-fluconazole interaction in critically ill patients.
    The Annals of pharmacotherapy, 1995, Volume: 29, Issue:10

    Topics: Adult; Anti-Bacterial Agents; Antifungal Agents; Biological Availability; Critical Illness; Drug Int

1995
Effects of fluconazole administration in critically ill patients: analysis of bacterial and fungal resistance.
    Archives of surgery (Chicago, Ill. : 1960), 2000, Volume: 135, Issue:2

    Topics: Antifungal Agents; Bacterial Infections; Candidiasis; Case-Control Studies; Cohort Studies; Critical

2000
Inadequate proof of adverse outcome due to the use of fluconazole in critically ill patients.
    Archives of surgery (Chicago, Ill. : 1960), 2000, Volume: 135, Issue:9

    Topics: Antifungal Agents; APACHE; Bacterial Infections; Candidiasis; Critical Illness; Drug Resistance, Mic

2000
Possible association between high-dose fluconazole and adrenal insufficiency in critically ill patients.
    Critical care medicine, 2001, Volume: 29, Issue:3

    Topics: Adrenal Insufficiency; Adrenocorticotropic Hormone; Aged; Antifungal Agents; Candidiasis; Cosyntropi

2001
Candida albicans endocarditis diagnosed by PCR-based molecular assay in a critically ill pediatric patient.
    Scandinavian journal of infectious diseases, 2002, Volume: 34, Issue:2

    Topics: Antifungal Agents; Candida albicans; Candidiasis; Child, Preschool; Critical Illness; Down Syndrome;

2002