Effective Management Of Topical Nosocomial Aspergillus Spp. Infections In Three Severely Burned Patients.

Détails

ID Serval
serval:BIB_BC2643BBAC74
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Effective Management Of Topical Nosocomial Aspergillus Spp. Infections In Three Severely Burned Patients.
Périodique
Annals of burns and fire disasters
Auteur⸱e⸱s
Pantet O., Laurent A., Abdel-Sayed P., Hirt-Burri N., Michetti M., Raffoul W., Monod M., Applegate L.A., de Buys Roessingh A.S.
ISSN
1592-9558 (Print)
ISSN-L
1592-9558
Statut éditorial
Publié
Date de publication
30/09/2021
Peer-reviewed
Oui
Volume
34
Numéro
3
Pages
235-239
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Nosocomial opportunistic fungal infections by Aspergillus spp. represent increasing morbidity and mortality factors for severely burned patients, who are fragile and immunocompromised. Voriconazole (VRC), a modern antifungal drug, is used as a first-line therapy against systemic mold and yeast infections. Little has been published about the place, relative importance and efficacy of voriconazole in the treatment protocols involving Aspergillus spp. in Burn Centers. The objective of the present work was to assess the place and importance of voriconazole for the treatment of burn patients presenting superficial Aspergillus spp. infections. We performed a retrospective evaluation of VRC treatment in three severely burned patients with superficial nosocomial Aspergillus spp. infections in our Burn Center. Results showed that VRC allowed for control and cure of topical nosocomial Aspergillus spp. infections. In two cases, treatment with VRC had to be discontinued because of hepatotoxicity. In two cases, following or during systemic treatment with VRC, a 1% terbinafine cream was applied to resolve the infection in order to continue standard wound management. Overall, VRC has been shown to be an effective antifungal agent and is an alternative to amphotericin B to fight Aspergillus spp. infections developing in the wounds of severely burned patients.
Mots-clé
Aspergillus, antifungals, burns, infection, voriconazole
Pubmed
Création de la notice
12/11/2021 16:02
Dernière modification de la notice
14/01/2022 12:55
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