1
|
McKinzie CJ, Chen L, Ehlert K, Grisso AG, Linafelter A, Lubsch L, O'Brien CE, Pan AC, Wright BA, Elson EC. Off-label use of intravenous antimicrobials for inhalation in patients with cystic fibrosis. Pediatr Pulmonol 2019; 54 Suppl 3:S27-S45. [PMID: 31715085 DOI: 10.1002/ppul.24511] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 08/19/2019] [Indexed: 11/12/2022]
Abstract
Management of infections in patients with cystic fibrosis (CF) presents challenges for healthcare providers, including the eradication of initial acquisition, treatment of acute exacerbations, and chronic infection with suppressive therapy. Inhaled antimicrobial therapy for infections in patients with CF has been used in these capacities, often in an effort to achieve optimal concentrations in sputum for antimicrobial efficacy while mitigating potential toxicities associated with systemic therapy. Unfortunately, there are few commercially available products formulated for inhalation, resulting in the off-label use of other formulations, such as intravenous products, administered via nebulization. This review aims to examine the evidence supporting the efficacy of these off-label formulations for management of acute and chronic infections associated with CF, as well as adverse effects associated with their use.
Collapse
Affiliation(s)
- Cameron J McKinzie
- Department of Pharmacy, University of North Carolina Medical Center, Chapel Hill, North Carolina
| | - Lori Chen
- Department of Pharmacy, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Kim Ehlert
- Department of Pharmacy, Fairview Health Services, Minneapolis, Minnesota
| | - Alison G Grisso
- Department of Pharmacy, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee
| | - Alaina Linafelter
- Department of Pharmacy, Children's Mercy Kansas City, Kansas City, Missouri
| | - Lisa Lubsch
- Department of Pharmacy, Practice, Southern Illinois University Edwardsville School of Pharmacy, Edwardsville, Missouri.,Department of Pharmacy, Cardinal Glennon Children's Hospital, St Louis, Missouri
| | - Catherine E O'Brien
- Department of Pharmacy Practice, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock, Arkansas
| | - Alice C Pan
- Department of Pharmacy, The Johns Hopkins Hospital, Baltimore, Maryland
| | - Brittany A Wright
- Department of Pharmaceutical Care, University of Iowa Health Care, Iowa City, Iowa
| | - E Claire Elson
- Department of Pharmacy, Children's Mercy Kansas City, Kansas City, Missouri
| |
Collapse
|