4.5 Article

THERAPEUTIC MONITORING OF VORICONAZOLE IN CHILDREN LESS THAN THREE YEARS OF AGE: A CASE REPORT AND SUMMARY OF VORICONAZOLE CONCENTRATIONS FOR TEN CHILDREN

Journal

PEDIATRIC INFECTIOUS DISEASE JOURNAL
Volume 31, Issue 6, Pages 632-635

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/INF.0b013e31824acc33

Keywords

invasive aspergillosis; pediatric; voriconazole; pharmacokinetic; therapeutic drug monitoring

Funding

  1. H.A. and Edna Benning Foundation
  2. NIH/NIAID [1K23AI079401, 1U01AI082184-01]
  3. CDC [1U18IP000303-01, 1U181P000303]
  4. NCRR [3UL1RR025764-02S3]
  5. NICHD [HD060559-01, 5 R01 HD060559-02, 1K23HD064814-01]
  6. NIAID [1R01AI089489-01, U01-AI74419]
  7. nonprofit organization Thrasher Research Foundation
  8. Pfizer
  9. NIH CTSA [1UL 1RR024128-01]
  10. United States government [1R01HD057956-02, 1R01FD003519-01, 1U10-HD45962-06, 1K24HD058735-01, HHSN267200700051C]

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Voriconazole is the treatment of choice for invasive aspergillosis and its use is increasing in pediatrics. Minimal pharmacokinetic data exist in young children. We report voriconazole concentrations for 10 children <3 years of age and pharmacokinetic parameters for 1 infant who had therapeutic drug monitoring performed. Trough concentrations were unpredictable based on dose, highlighting the need to follow values during therapy.

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