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

Details

Serval ID
serval:BIB_BC2643BBAC74
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effective Management Of Topical Nosocomial Aspergillus Spp. Infections In Three Severely Burned Patients.
Journal
Annals of burns and fire disasters
Author(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
Publication state
Published
Issued date
30/09/2021
Peer-reviewed
Oui
Volume
34
Number
3
Pages
235-239
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
Aspergillus, antifungals, burns, infection, voriconazole
Pubmed
Create date
12/11/2021 16:02
Last modification date
14/01/2022 12:55
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