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两性霉素B及其脂质制剂

[Amphotericin B and its lipid formulations].

作者信息

Ritter J

机构信息

Klinik und Poliklinik für Kinderheilkunde, Pädiatrische Hämatologie/Onkologie, Albert-Schweitzer-Str. 33, 48149 Münster, Deutschland.

出版信息

Mycoses. 2002;45 Suppl 3:34-8. doi: 10.1111/j.1439-0507.2002.tb04767.x.

Abstract

More than 40 years after its approval, Amphotericin B is still the gold standard in the treatment of invasive fungal infections due to Candida and Aspergillus spp. Three different lipid formulations of Amphotericin B have been available for over 10 years, with only one of them, i.e. liposomal Amphotericin B (Ambisome), approved in Germany. Liposomal Amphotericin B is superior to conventional Amphotericin B due to its reduced nephrotoxicity, the option of a higher initial loading-dose, and fewer infusion-related side-effects, all this with identical or even higher efficacy.

摘要

两性霉素B获批40多年后,仍是治疗念珠菌和曲霉菌属所致侵袭性真菌感染的金标准。三种不同的两性霉素B脂质制剂已上市10多年,其中只有一种,即脂质体两性霉素B(安必素)在德国获批。脂质体两性霉素B优于传统两性霉素B,因为它的肾毒性降低、可以选择更高的初始负荷剂量,且输液相关副作用更少,而疗效相同甚至更高。

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