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[Retrospective analysis of the safety of four hours administration of liposomal amphotericin B in patients with chronic necrotizing pulmonary aspergillosis].

Abstract
We have retrospectively analyzed the safety of 4 hours administration of liposomal amphotericin B (L-AMB) compared to less than or equal to 3 hours administration in patients with chronic necrotizing pulmonary aspergillosis (CNPA). The elevation of serum creatinine in the group with 4 hours administration of L-AMB in patients with CNPA was equal to the group with shorter administration time (less than or equal to three hours). During the administration of L-AMB, the group with 4 hours administration of LAMB had significantly a safer profile in relation to hypokalemia during L-AMB treatment than the group with shorter administration time. Additionally, white cell counts, platelet counts, serum creatinine, AST, ALT were not significantly different between L-AMB 4 hours administration group and less than or equal to 3 hours administration group. As the group with 4 hours administration of L-AMB had significantly a safer profile in relation to hypokalemia during L-AMB treatment, this modality can be one of the safer ways in the treatment of CNPA. As L-AMB is one of the fungicidal agents, 4 hours administration of L-AMB can be an optimal way of treating CNPA.
AuthorsKazuhiro Yatera, Kei Yamasaki, Minako Kozaki, Makiko Shimauchi, Toshinori Kawanami, Shuya Nagata, Yu Suzuki, Susumu Tokuyama, Naomasa Inoue, Chinatsu Nishida, Hiroshi Ishimoto, Tatsunori Kawajiri, Yukikazu Awaya, Toru Tsuda, Hiroshi Mukae
JournalThe Japanese journal of antibiotics (Jpn J Antibiot) Vol. 64 Issue 5 Pg. 311-8 (Oct 2011) ISSN: 0368-2781 [Print] Japan
PMID22428214 (Publication Type: English Abstract, Journal Article)
Chemical References
  • liposomal amphotericin B
  • Amphotericin B
  • Potassium
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Amphotericin B (administration & dosage, adverse effects)
  • Chronic Disease
  • Female
  • Humans
  • Hypokalemia (chemically induced, prevention & control)
  • Infusions, Intravenous
  • Invasive Pulmonary Aspergillosis (drug therapy)
  • Male
  • Middle Aged
  • Potassium (blood)
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome

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