Canadian Antimicrobial Resistance Alliance

نویسنده

  • Daniel Thirion
چکیده

Azoles used for invasive fungal infections include two classes, the imidazoles (ketoconazole) and the triazoles (itraconazole, fluconazole, voriconazole, posaconazole). A number of agents are available for topical use in different indications but this is beyond the paper’s focus. Azoles are usually recognized according to spectrum of activity and safety profiles. The imidazole ring is the synthetic component that confers activity to azoles. Triazoles are obtained by a slight modification of this ring and present similar or improved activity and less adverse effects. Azoles inhibit an enzyme required for the production of ergosterol an essential component of the fungal cytoplasmic membrane. However, since this enzyme is similar to one found in the human liver, drug interactions due to metabolism do occur. Because of important differences in activity and safety it is easier to understand each azole separately.

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تاریخ انتشار 2011