Onkologie. 2015:9(3):129-134

Guidelines for the targeted antifungal therapy of invasive fungal infection in pediatric hematology-oncology

Petr Sedláček1, Vanda Chrenková2, Petra Keslová1, Peter Múdry3, Jaroslav Štěrba3, Júlia Horáková4
1 Klinika dětské hematologie a onkologie, FN v Motole, 2. LF UK, Praha
2 Ústav lékařské mikrobiologie, FN v Motole, 2. LF UK, Praha
3 Klinika dětské onkologie, FN a LF MU, Brno
4 Klinika detskej hematológie a onkológie, LF UK a DFNsP, Bratislava

Invasive fungal infections (IFI) in immunocompromised children are associated with significant morbidity and mortality. Early targeted

therapy is the key factor for successful outcome. However, treatment options against IFI in children are limited. Not always it is easy to timely

and to accurately confirm the diagnosis of IFI and properly identify the etiologic agent. Use of several available potent antifungals in children

is complicated by the lack of pharmacokinetic and safety data. In our report, we would like to summarize current recommendations for

targeted antifungal therapy in pediatric hemato-oncology based on our experience and recommendations published during the last years.

Keywords: guidelines, targeted therapy, antifungals, activity, invasive fungal infection, children

Published: June 1, 2015  Show citation

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Sedláček P, Chrenková V, Keslová P, Múdry P, Štěrba J, Horáková J. Guidelines for the targeted antifungal therapy of invasive fungal infection in pediatric hematology-oncology. Onkologie. 2015;9(3):129-134.
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References

  1. Castagnola E, et al. Role of management strategies in reducing mortality from invasive fungal disease in children with cancer or receiving hemopoietic stem cell transplant: a single center 30-year experience. The Pediatric infectious disease journal, 2014; 33(3): 233-237. Go to original source... Go to PubMed...
  2. Mor M, et al. Invasive fungal infections in pediatric oncology. Pediatric blood & cancer, 2011; 56(7): 1092-1097. Go to original source... Go to PubMed...
  3. De Pauw B, et al. Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 2008; 46(12): 1813-1821. Go to original source... Go to PubMed...
  4. Sedlacek P, et al. Doporučení antimykotické profylaxe, diagnostiky a léčby v dětské hemato-onkologii. Klin mikrobiol inf lek 2014; 20(3): 85-91.
  5. Kobayashi R, et al. The clinical feature of invasive fungal infection in pediatric patients with hematologic and malignant diseases: a 10-year analysis at a single institution at Japan. Journal of pediatric hematology/oncology, 2008; 30(12): 886-890. Go to original source... Go to PubMed...
  6. Maschmeyer G, and Patterson TF, Our 2014 approach to breakthrough invasive fungal infections. Mycoses, 2014; 57(11): 645-651. Go to original source... Go to PubMed...
  7. Maubon D, et al. Resistance of Candida spp. to antifungal drugs in the ICU: where are we now? Intensive care medicine, 2014; 40(9): 1241-1255. Go to original source... Go to PubMed...
  8. Lehrnbecher T, et al. Guideline for the management of fever and neutropenia in children with cancer and/or undergoing hematopoietic stem-cell transplantation. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 2012; 30(35): 4427-4438. Go to original source... Go to PubMed...
  9. Mandhaniya S, et al. Diagnosis of invasive fungal infections using real-time PCR assay in paediatric acute leukaemia induction. Mycoses, 2012; 55(4): 372-379. Go to original source... Go to PubMed...
  10. Maertens JA, et al. A randomized, double-blind, multicenter study of caspofungin versus liposomal amphotericin B for empiric antifungal therapy in pediatric patients with persistent fever and neutropenia. The Pediatric infectious disease journal, 2010; 29(5): 415-420. Go to original source... Go to PubMed...
  11. Kobayashi R, et al. Efficacy and safety of micafungin for febrile neutropenia in pediatric patients with hematological malignancies: a multicenter prospective study. Journal of pediatric hematology/oncology, 2013; 35(7): e276-279. Go to original source... Go to PubMed...
  12. Caselli D, et al. A prospective, randomized study of empirical antifungal therapy for the treatment of chemotherapy-induced febrile neutropenia in children. British journal of haematology, 2012; 158(2): 249-255. Go to original source... Go to PubMed...
  13. Groll AH, et al. Fourth European Conference on Infections in Leukaemia (ECIL-4): guidelines for diagnosis, prevention, and treatment of invasive fungal diseases in paediatric patients with cancer or allogeneic haemopoietic stem-cell transplantation. The Lancet. Oncology, 2014; 15(8): e327-340. Go to original source... Go to PubMed...
  14. Minea B, et al. Species distribution and susceptibility profile to fluconazole, voriconazole and MXP-4509 of 551 clinical yeast isolates from a Romanian multi-centre study. European journal of clinical microbiology & infectious diseases: official publication of the European Society of Clinical Microbiology, 2014. Go to original source...
  15. Haber J, et al. Léčba invazivního kandidového onemocnění a hematogenní kandidové infekce - doporučení odborníků s podporou CELL. Postgrad medicina, 2014; 16(3): 11-13.
  16. Chaussade H, et al. Usefulness of corticosteroid therapy during chronic disseminated candidiasis: case reports and literature review. The Journal of antimicrobial chemotherapy, 2012; 67(6): 1493-1495. Go to original source... Go to PubMed...
  17. Ráčil Z, et al. Léčba invazívní aspergilózy - doporučení odborníků s podporou CELL. Postgrad medicina, 2014; 16(3): 7-10.
  18. Soler-Palacin P, et al. Voriconazole drug monitoring in the management of invasive fungal infection in immunocompromised children: a prospective study. The Journal of antimicrobial chemotherapy, 2012; 67(3): 700-706. Go to original source... Go to PubMed...
  19. Spellberg B, et al. The Deferasirox-AmBisome Therapy for Mucormycosis (DEFEAT Mucor) study: a randomized, double-blinded, placebo-controlled trial. The Journal of antimicrobial chemotherapy, 2012; 67(3): 715-722. Go to original source... Go to PubMed...
  20. Cornely OA, et al. ESCMID and ECMM joint clinical guidelines for the diagnosis and management of mucormycosis 2013. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2014; 20(Suppl 3): 5-26.
  21. Perfect JR, et al. Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the infectious diseases society of america. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 2010; 50(3): 291-322. Go to original source... Go to PubMed...
  22. Sedlacek P, Keslova P. Systémová antimykotická terapie u dětí - trendy, zkušenosti, doporučení. Pediatrie pro praxi, 2009; 10(5): 316-321.
  23. Stergiopoulou T, Walsh Tj. Clinical pharmacology of antifungal agents to overcome drug resistance in pediatric patients. Expert opinion on pharmacotherapy, 2015; 16(2): 213-226. Go to original source... Go to PubMed...
  24. SJ and Vipparti H. Mixed fungal lung infection with Aspergillus fumigatus and Candida albicans in a immunocomprimised patient: case report. Journal of clinical and diagnostic research: JCDR, 2014; 8(4): DD08-10. Go to PubMed...
  25. Arendrup MC, et al. Epidemiological changes with potential implication for antifungal prescription recommendations for fungaemia: data from a nationwide fungaemia surveillance programme. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2013; 19(8): E343-353. Go to original source...
  26. Arendrup, M.C., Update on antifungal resistance in Aspergillus and Candida. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2014. 20 Suppl 6: 42-48. Go to original source... Go to PubMed...
  27. Shima H, et al. Differences in voriconazole trough plasma concentrations per oral dosages between children younger and older than 3 years of age. Pediatric blood & cancer, 2010; 54(7): 1050-1052. Go to original source... Go to PubMed...
  28. Valerio C, et al. Antifungal agents in current pediatric practice. Currentinfectious disease reports, 2013; 15(3): 278-287. Go to original source... Go to PubMed...




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