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棘白霉素类抗真菌药的研究进展
引用本文:陈頔,曹国颖,傅得兴,孙春华.棘白霉素类抗真菌药的研究进展[J].中国新药杂志,2007,16(14):1082-1087.
作者姓名:陈頔  曹国颖  傅得兴  孙春华
作者单位:1. 北京大学第五临床医院,卫生部北京医院药学部,北京,100730;北京大学医学部药事管理与临床药学系,北京,100083
2. 北京大学第五临床医院,卫生部北京医院药学部,北京,100730
摘    要:棘白霉素类抗真菌药是一类新型抗真菌药,作用于真菌细胞壁,对于念珠菌属以及曲霉菌属均有效,而且安全性较高。目前开发的品种有卡泊芬净、米卡芬净、阿尼芬净,均已通过FDA认证上市。现从作用机制、抗菌活性、药动学、临床评价、药物相互作用和不良反应等几方面对其做一综述。

关 键 词:棘白霉素  抗真菌药  卡泊芬净  米卡芬净  阿尼芬净  作用机制  药动学  临床评价  药物相互作用  不良反应
文章编号:1003-3734(2007)14-1082-06
收稿时间:2007-02-27
修稿时间:2007-02-27

Advances in research of echinocandins drugs as antifungal agents
CHEN Di,CAO Guo-ying,FU De-xing,SUN Chun-hua.Advances in research of echinocandins drugs as antifungal agents[J].Chinese Journal of New Drugs,2007,16(14):1082-1087.
Authors:CHEN Di  CAO Guo-ying  FU De-xing  SUN Chun-hua
Institution:1 The 5th Medical College of Peking University, Beijing Hospital, the Ministry of Public Health, Beijing 100730, China ; 2 Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100083, China
Abstract:Echinocandins are a new class of antifungus drugs. The drugs act at the level of the fungal cell wall. The echinocandins have activity against all Candida and Aspergillus species, and have proved to be quite safe. Three echinocandins, including caspofungin, micafungin, and anidulafungin, are currently available and received approved labeling from the Food and Drug Administration. This paper summarizes the mechanism of action, antimicrobial activity, pharmacokinetics, clinical application, dos- age, drug interaction, and adverse reaction.
Keywords:echinocandin  antifungal agent  caspofungin  micafungin  anidulafungin  mechanism of action  pharmacokinetics  clinical application  drug interaction  adverse reaction
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