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影响泊沙康唑血药浓度相关因素的研究进展
引用本文:张飞雨,张瑞霞,宋学武,张弋.影响泊沙康唑血药浓度相关因素的研究进展[J].中国医院药学杂志,2021,41(9):971-976.
作者姓名:张飞雨  张瑞霞  宋学武  张弋
作者单位:1. 天津医科大学一中心临床学院, 天津 300192;2. 天津市第一中心医院药学部, 南开大学医学院, 天津 300192
摘    要:泊沙康唑为第二代三唑类抗真菌药,具有抗菌谱广、抗真菌活性强、安全性耐受性高、相较其他唑类抗真菌药更具成本-效益等优势,在预防侵袭性曲霉菌和念珠菌感染方面占有重要地位,但该药药动学过程具有较大个体差异,并且其血药浓度受到药物、患者、食物等多种因素影响,导致无法达到预防或治疗效果。本文旨在对影响泊沙康唑血药浓度的因素进行综述,为该药在临床应用中的安全性和有效性提供参考。

关 键 词:泊沙康唑  血药浓度  药动学  侵袭性真菌病  
收稿时间:2021-01-25

Research progress of influencing factors for plasma concentration of posaconazole
ZHANG Fei-yu,ZHANG Rui-xia,SONG Xue-wu,ZHANG Yi.Research progress of influencing factors for plasma concentration of posaconazole[J].Chinese Journal of Hospital Pharmacy,2021,41(9):971-976.
Authors:ZHANG Fei-yu  ZHANG Rui-xia  SONG Xue-wu  ZHANG Yi
Affiliation:1. First Central Clinical College, Tianjin Medical University, Tianjin 300192, China;2. Department of Pharmacy, First Central Municipal Hospital, School of Medicine, Nankai University, Tianjin 300192, China
Abstract:As a second-generation triazole antifungal drug,posaconazole offers the advantages of broad antibacterial spectrum,strong antifungal activity,greater safety and higher tolerance.It is more cost-effective than other azole antifungals.It plays an important role in preventing invasive aspergillus and candida infections.However,its pharmacokinetic has large intindividual variation.Its plasma concentration is affected by many factors,such as drug,patient and diet,etc.Such a variability makes it impossible to reach prophylactzic or therapeutic effect.This review summarized the influencing factors for plasma concentration so as to improve the safety and effectiveness of posaconazole in clinical applications.
Keywords:posaconazole  plasma drug concentration  pharmacokinetics  invasive fungal disease  
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