Sepsis & infection

Factors affecting voriconazole pharmacokinetic variability in critically ill patients: a systematic review

Crit CarePublished Systematic review

Study context

Population
Critically ill (intensive care unit (ICU)) patients receiving voriconazole31 studies
Outcome
Factors associated with variability of voriconazole Ctrough
Methodological detailsMEDLINE, Web of Science and Cochrane Library searched from inception through July 2025
  • MEDLINE, Web of Science and Cochrane Library searched from inception through July 2025

Pooled result

As reported in the abstract

Factors of variability of voriconazole exposure
  • Liver dysfunction, high BMI, high SOFA score and high inflammation status associated with voriconazole overexposure
  • Oral route, RRT and low BMI associated with voriconazole underexposure
  • Effects of ECMO and hypoalbuminemia on voriconazole exposure unclear
  • 9 factors of variability described

Original publication

Factors affecting voriconazole pharmacokinetic variability in critically ill patients: a systematic review. Crit Care. Published 25 November 2025. doi:10.1186/s13054-025-05697-w

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