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两性霉素 B 在毛霉病治疗中的作用。

Role of Amphotericin B in the Treatment of Mucormycosis.

机构信息

NDDS Research Laboratory, Department of Pharmaceutics, Delhi Institute of Pharmaceutical Sciences and Research, Delhi Pharmaceutical Sciences and Research University, Pushp Vihar Sec-3, MB Road, New Delhi 110017, India.

Department of Pharmaceutical Chemistry, Centre for Healthcare, Allied Medical and Paramedical Sciences, Delhi Skill and Entrepreneurship University, (CHAMPS-DSEU Okhla-II Campus), Maa Anandmayi Marg, Okhla Industrial Area Phase II, New Delhi 110020, India.

出版信息

Curr Pharm Des. 2024;30(1):1-9. doi: 10.2174/0113816128272443231221101415.

Abstract

BACKGROUND

Regardless of the most recent inclusion of mold-active agents (isavuconazole and posaconazole) to antifungal agents against mucormycosis, in conjunction with amphotericin B (AMB) items, numerous uncertainties still exist regarding the treatment of this rare infection. The order Mucorales contains a variety of fungi that cause the serious but uncommon fungal illness known as mucormycosis. The moulds are prevalent in nature and typically do not pose significant risks to people. Immunocompromised people are affected by it.

OBJECTIVE

This article's primary goal is to highlight the integral role that AMB plays in this condition.

METHODS

Like sinusitis (including pansinusitis, rhino-orbital, or rhino-cerebral sinusitis) is one of the many signs and symptoms of mucormycosis. The National Center for Biotechnology Information (NCBI) produces a variety of online information resources for review articles on the topic-based mucormycosis, AMB, diagnosis of mucormycosis and the PubMed® database of citations and abstracts published in life science journals. These resources can be accessed through the NCBI home page at https://www.ncbi.nlm.nih.gov.

RESULTS

The article provides a summary of the pharmacological attributes of the various AMB compositions accessible for systemic use.

CONCLUSION

The article demonstrates the traits of the drug associated with its chemical, pharmacokinetics, stability, and other features, and illustrates their most useful characteristics for clinical application.

摘要

背景

尽管最近将霉菌活性药物(伊曲康唑和泊沙康唑)与两性霉素 B(AMB)联合纳入抗毛霉病药物,但对于这种罕见感染的治疗,仍存在许多不确定因素。毛霉目包含多种真菌,这些真菌会引起一种严重但不常见的真菌感染,称为毛霉病。这些霉菌在自然界中很常见,通常不会对人类构成重大威胁。免疫功能低下的人会受到影响。

目的

本文的主要目的是强调 AMB 在这种情况下的重要作用。

方法

鼻窦感染(包括全鼻窦炎、鼻眶或鼻脑鼻窦炎)是毛霉病的众多症状和体征之一。国家生物技术信息中心(NCBI)基于主题的毛霉病、AMB、毛霉病诊断和 PubMed®生命科学期刊引文和摘要数据库,制作了多种在线信息资源,用于评论文章。这些资源可以通过 https://www.ncbi.nlm.nih.gov 上的 NCBI 主页访问。

结果

本文总结了可用于全身使用的各种 AMB 制剂的药理学特性。

结论

本文展示了与该药物相关的特性,包括其化学、药代动力学、稳定性和其他特征,并说明了它们在临床应用中的最有用特性。

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