Extracorporeal Membrane Oxygenation Can Affect Posaconazole Exposure in Critically Ill Patients

ECMO patients may be at an increased risk of subtherapeutic posaconazole concentrations for treating IFI, and ECMO decannulation may increase concentrations. Close therapeutic drug monitoring is recommended, especially during ECMO initiation and decannulation, to ensure posaconazole concentrations are appropriate for treating or preventing IFI.

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Publication Details

Journal
Therapeutic Drug Monitoring
Published
2026-01-20
DOI
https://doi.org/10.1097/ftd.0000000000001437
Primary Topic
Antifungal resistance and susceptibility
Type
article
Field-Weighted Citation Impact
0.00
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article

Extracorporeal Membrane Oxygenation Can Affect Posaconazole Exposure in Critically Ill Patients

Bradley J. Gardiner, Rekha Pai Mangalore, Miranda Paraskeva, Joshua Ihle et al.
Therapeutic Drug Monitoring
Antifungal resistance and susceptibility
article

Extracorporeal Membrane Oxygenation Can Affect Posaconazole Exposure in Critically Ill Patients

Bradley J. Gardiner, Rekha Pai Mangalore, Miranda Paraskeva, Joshua Ihle, Steven McGloughlin, Ming G. Chai
article en

Abstract

ECMO patients may be at an increased risk of subtherapeutic posaconazole concentrations for treating IFI, and ECMO decannulation may increase concentrations. Close therapeutic drug monitoring is recommended, especially during ECMO initiation and decannulation, to ensure posaconazole concentrations are appropriate for treating or preventing IFI.

Therapeutic Drug Monitoring
Alfred Health (AU), Monash University (AU)
Openalex Percentile: Top 81%
Antifungal resistance and susceptibility
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