Micafungin is also an effective treatment for candidaemia.7
All patients were given
micafungin as first-line therapy for an average duration of 22 days.
The difficulty in following this recommendation is illustrated in a randomized trial of treatment of candidemia comparing
micafungin with liposomal amphotericin B, (26) in which CVC removal at baseline (before treatment initiation) was required per protocol.
glabrata Isolates with Mutations in fks Genes," combines the results of several in vitro studies of ibrexafungerp against a total of 79 Candida glabrata strains with fks mutations showing that ibrexafungerp maintains potent activity against these echinocandin-resistant strains when compared to caspofungin and
micafungin. In five independent studies, the in vitro susceptibility, determined by broth micro-dilution, of C.
Paradoxical growth effects of the echinocandins caspofungin and
micafungin. but not of anidulafungin.
However, blood cultures grew Candida albicans, and
micafungin was initiated.
The antifungal agents assayed were: amphotericin B (AMB), itraconazole (ITC), voriconazole (VRC), posaconazole (POS), fluconazole (FLU), caspofungin (CAS),
micafungin (MFG), anidulafungin (AFG).
Se realizaron 4 busquedas en cada base de datos, utilizando los siguientes terminos MeSH: Echinocandin Candida resistant, Anidulafungin Candida resistance (or resistant), Caspofungin Candida resistance (or resistant),
Micafungin Candida Resistance (or resistant).
Echinocandin (caspofungin, anidulafungin,
micafungin) or fluconazole is recommended for empirical antifungal therapy.
These include the polyene group that encompasses amphotericin B deoxycholate and its lipid formulations (liposomal amphotericin B, amphotericin B lipid complex, and amphotericin B cholesteryl sulfate complex); the nucleoside analogue flucytosine; the triazoles which include fluconazole and voriconazole; and the most recently developed echinocandin class, which includes caspofungin,
micafungin, and anidulafungin.