The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis

Abstract This meta-analysis aimed to assess the efficacy and safety of fluconazole for the prevention of invasive fungal infections (IFI) in very low birth weight infants (VLBWI) and to provide a basis for the clinical use. A detailed search of Pubmed, Embase, Cochrane Library and other databases wa...

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Main Authors: Jinghong Xie, Jiayue Zeng, Shouyan Zheng
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s13052-023-01460-5
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author Jinghong Xie
Jiayue Zeng
Shouyan Zheng
author_facet Jinghong Xie
Jiayue Zeng
Shouyan Zheng
author_sort Jinghong Xie
collection DOAJ
description Abstract This meta-analysis aimed to assess the efficacy and safety of fluconazole for the prevention of invasive fungal infections (IFI) in very low birth weight infants (VLBWI) and to provide a basis for the clinical use. A detailed search of Pubmed, Embase, Cochrane Library and other databases was performed to carefully screen eligible randomized controlled clinical studies to assess the safety and efficacy of fluconazole in very low birth weight infants in terms of the incidence of invasive fungal infections, fungal colonization rate, and mortality. Our research indicated that the application of fluconazole did not result in intolerable adverse reactions in patients. Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects. The dose and frequency of fluconazole in very low birth weight infants still needs to be evaluated in consequent studies.
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spelling doaj.art-172164cfe18b4b55977e3a8992d32f0b2023-04-30T11:22:43ZengBMCItalian Journal of Pediatrics1824-72882023-04-014911810.1186/s13052-023-01460-5The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysisJinghong Xie0Jiayue Zeng1Shouyan Zheng2Department of Pediatrics, Southwest Hospital of Army Medical UniversityDepartment of Gastroenterology, the Affiliated Hospital of Southwest Medical UniversityDepartment of Pediatrics, Southwest Hospital of Army Medical UniversityAbstract This meta-analysis aimed to assess the efficacy and safety of fluconazole for the prevention of invasive fungal infections (IFI) in very low birth weight infants (VLBWI) and to provide a basis for the clinical use. A detailed search of Pubmed, Embase, Cochrane Library and other databases was performed to carefully screen eligible randomized controlled clinical studies to assess the safety and efficacy of fluconazole in very low birth weight infants in terms of the incidence of invasive fungal infections, fungal colonization rate, and mortality. Our research indicated that the application of fluconazole did not result in intolerable adverse reactions in patients. Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects. The dose and frequency of fluconazole in very low birth weight infants still needs to be evaluated in consequent studies.https://doi.org/10.1186/s13052-023-01460-5FluconazoleFungal infectionVery low birth weight infantsEfficacyAdverse reaction
spellingShingle Jinghong Xie
Jiayue Zeng
Shouyan Zheng
The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis
Italian Journal of Pediatrics
Fluconazole
Fungal infection
Very low birth weight infants
Efficacy
Adverse reaction
title The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis
title_full The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis
title_fullStr The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis
title_full_unstemmed The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis
title_short The efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants: a systematic review and meta-analysis
title_sort efficacy and safety of fluconazole in preventing invasive fungal infection in very low birth weight infants a systematic review and meta analysis
topic Fluconazole
Fungal infection
Very low birth weight infants
Efficacy
Adverse reaction
url https://doi.org/10.1186/s13052-023-01460-5
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