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Nature Clinical Practice Nephrology (2006) 2, 351
doi:10.1038/ncpneph0207  

Fluconazole dose of 800 mg daily is required to reach antifungal plasma levels

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Fungal septicemia caused by Candida spp. is treated with fluconazole. In vitro testing of the effects of fluconazole on Candida spp. indicated that plasma levels of 16–32 microg/ml are necessary to inhibit growth of some Candida spp. effectively. In patients receiving continuous veno-venous hemofiltration or continuous veno-venous hemodialysis, trials of fluconazole infusions of 200–600 mg/day failed to reach the required plasma concentration. Researchers in Germany attempted to determine whether a fluconazole dose of 800 mg/day would produce the required plasma concentration in nine intensive-care patients receiving continuous veno-venous hemofiltration for acute renal failure.

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