Id |
Subject |
Object |
Predicate |
Lexical cue |
T117 |
0-77 |
Sentence |
denotes |
Discussion on antifungal treatment options and challenges for IAPA in the ICU |
T118 |
78-414 |
Sentence |
denotes |
A specific drug–drug interaction is relevant for patients with IAPA given the fact that co-infections with S. aureus are frequently observed; undetectable voriconazole levels have been observed in 11 of 20 patients, who were concomitantly treated with flucloxacillin [53], but the mechanisms of interaction are not yet fully understood. |
T119 |
415-473 |
Sentence |
denotes |
Similar interactions have not been seen with other azoles. |
T120 |
474-575 |
Sentence |
denotes |
Many other drug interactions with azoles and drugs commonly deployed in the ICU can be expected [45]. |
T121 |
576-782 |
Sentence |
denotes |
Aerosolized antifungal treatment may be a useful adjunctive therapy to systemic antifungal therapy for patients with confirmed Aspergillus tracheobronchitis, to achieve good endobronchial exposure [35, 54]. |
T122 |
783-965 |
Sentence |
denotes |
However, dense lipophilic plaques in the trachea may be difficult to penetrate and more research is needed into when and how to use aerosolized antifungals as well as their efficacy. |
T123 |
966-1199 |
Sentence |
denotes |
The ECCMID/ECMM/ERS Aspergillus guideline reviewed the teratogenic and mutagenic potential of antifungals in early pregnancy and recommends that azoles should be avoided, with polyenes being considered the preferred therapy [43, 55]. |
T124 |
1200-1309 |
Sentence |
denotes |
Thus, for pregnant patients at risk of IAPA a diagnostic approach was preferred above antifungal prophylaxis. |
T125 |
1310-1390 |
Sentence |
denotes |
There is little evidence on the impact of ECMO on antifungal drug exposure [56]. |
T126 |
1391-1448 |
Sentence |
denotes |
For the echinocandins, an impact of ECMO is not expected. |
T127 |
1449-1574 |
Sentence |
denotes |
Experts felt that, given these uncertainties, TDM of any antifungal used would be advised to ensure sufficient drug exposure. |