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累积静脉伏立康唑剂量对血液病患者肾功能的影响。

Effect of Cumulative Intravenous Voriconazole Dose on Renal Function in Hematological Patients.

机构信息

Department of Pharmacy, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan

出版信息

Antimicrob Agents Chemother. 2018 Aug 27;62(9). doi: 10.1128/AAC.00507-18. Print 2018 Sep.

Abstract

Intravenous voriconazole (VRC) is formulated by the incorporation of sulfobutylether-β-cyclodextrin (SBECD), which may accumulate to adversely affect renal function. However, the effect of long-term use of intravenous VRC on renal function is unclear. Our retrospective analysis of data confirmed that worsening of renal function was significantly associated with a cumulative dose of intravenous VRC (≥400 mg/kg), suggesting that a higher cumulative dose of intravenous VRC is a risk factor for renal dysfunction.

摘要

静脉注射伏立康唑(VRC)通过磺丁基醚-β-环糊精(SBECD)的加入来配制,这可能会蓄积并对肾功能产生不良影响。然而,长期使用静脉 VRC 对肾功能的影响尚不清楚。我们对数据的回顾性分析证实,肾功能恶化与静脉 VRC 的累积剂量(≥400mg/kg)显著相关,提示静脉 VRC 的更高累积剂量是肾功能障碍的一个危险因素。

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