Abstract | BACKGROUND: METHODS: The Cochrane library of systematic reviews and the Cochrane database of controlled trials were searched for controlled trials on ABPA and its treatment in both asthma and CF. In addition, articles included within the reviews were examined separately, and a separate search carried out using Medline. RESULTS: A systematic review for the use of azole anti-fungal agents in ABPA was identified for their use in both CF and non-CF-related disease. The review of ABPA alone identified two randomized-controlled trials of itraconazole in chronic disease. These trials demonstrated improvements in symptoms and immune activation, but were short-term trials and failed to show a significant change in lung function. No trials were identified in CF. CONCLUSIONS: The use of anti-fungal agents in ABPA seems to be a rational one, with short-term efficacy demonstrated for the use of itraconazole. Further investigations are required to identify individuals who will benefit most from treatment and to establish the correct dose and means of delivering treatment in ABPA. Longer-term studies are required to demonstrate that treatment modifies the progressive decline in lung function seen with the disease.
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Authors | Peter Wark |
Journal | Respiratory medicine
(Respir Med)
Vol. 98
Issue 10
Pg. 915-23
(Oct 2004)
ISSN: 0954-6111 [Print] England |
PMID | 15481266
(Publication Type: Journal Article, Review, Systematic Review)
|
Chemical References |
- Antifungal Agents
- Azoles
- Pyrimidines
- Triazoles
- Itraconazole
- Voriconazole
- Ketoconazole
|
Topics |
- Antifungal Agents
(therapeutic use)
- Aspergillosis, Allergic Bronchopulmonary
(diagnosis, drug therapy, etiology)
- Azoles
(therapeutic use)
- Evidence-Based Medicine
- Forecasting
- Humans
- Itraconazole
(therapeutic use)
- Ketoconazole
(therapeutic use)
- Pyrimidines
(therapeutic use)
- Triazoles
(therapeutic use)
- Voriconazole
|