Tratamento de Otomicose com Terapia Antifúngica Sistêmica
Cenário Clínico
Este protocolo aborda a otomicose em casos em que o tratamento antifúngico sistêmico está indicado — especificamente em pacientes que não responderam à terapia antifúngica tópica.
Abordagem Terapêutica
A terapia antifúngica sistêmica é empregada em cenários selecionados de otomicose; o agente e a via adequados dependem de fatores específicos do paciente detalhados no protocolo estruturado completo.
References
DOI: 10.22541/au.170670973.33825129/v1
- Systemic antifungals have an important role in specific cases of otomycosis, for example in immunosuppressed patients unresponsive to topical antifungals, in multi-drug resistant Candida auris and Aspergillus infections and in invasive otitis externa.
- In studies where an oral antifungal was prescribed, such as in immunosuppressed patients who were unresponsive to topical antifungals, voriconazole was chosen frequently (36% of studies).
- Amphotericin B was frequently chosen when intravenous treatment was required.
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