Does Lipid Emulsion Reduce Amphotericin B Nephrotoxicity? A Systematic Review and Meta-analysis

被引:69
作者
Mistro, Sostenes [1 ]
Maciel, Isis de M. [1 ]
de Menezes, Rouseli G. [1 ]
Maia, Zuinara P. [1 ]
Schooley, Robert T. [2 ]
Badaro, Roberto [1 ,2 ]
机构
[1] Univ Fed Bahia, Univ Hosp Prof Edgard Santos, Salvador, BA, Brazil
[2] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA
关键词
FAT EMULSION; TOXICITY;
D O I
10.1093/cid/cis290
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This meta-analysis of 13 studies revealed that amphotericin B delivered as a locally prepared lipid emulsion or in liposomes reduced nephrotoxicity to a similar degree, by 18.4% (relative risk [RR], 0.40 [99% confidence interval,.25-.64]; n = 459) and 18.1% (RR, 0.48 [99% CI,.36-. 64]); n = 1233), respectively.
引用
收藏
页码:1774 / 1777
页数:4
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