Treatment of visceral leishmaniasis in children with liposomal amphotericin B

被引:53
作者
diMartino, L
Davidson, RN
Giacchino, R
Scotti, S
Raimondi, F
Castagnola, E
Tasso, L
Cascio, A
Gradoni, L
Gramiccia, M
PettoelloMantovani, M
Bryceson, ADM
机构
[1] YESHIVA UNIV ALBERT EINSTEIN COLL MED, DEPT PEDIAT, BRONX, NY 10461 USA
[2] IST GIANNINA GASLINI, DEPT PEDIAT, I-16148 GENOA, ITALY
[3] UNIV NAPLES FEDERICO II, DEPT PEDIAT, NAPLES, ITALY
[4] CHILDRENS HOSP, DEPT PEDIAT, PALERMO, ITALY
[5] IST SUPER SANITA, PARASITOL LAB, I-00161 ROME, ITALY
[6] ST MARYS HOSP, SCH MED, DEPT INFECT & TROP DIS, HARROW, MIDDX, ENGLAND
[7] HOSP TROP DIS, LONDON NW1 0PE, ENGLAND
[8] UNIV LONDON IMPERIAL COLL SCI TECHNOL & MED, SCH MED, LONDON SW7 2AZ, ENGLAND
关键词
D O I
10.1016/S0022-3476(97)70165-3
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We used liposomal amphotericin B as first-choice treatment of visceral leishmaniasis in 106 immunocompetent children who acquired the infection in a temperate region of southern Europe (Italy) where Leishmania infantum visceral leishmaniasis is endemic. The aim of the study was to identify the minimum total dose of liposomal amphotericin B needed to cue the infection in children and reduce the period of hospitalization. We conclude that the optimal regimen in immunocompetent children with L. infantum visceral leishmaniasis to be a total dose of 18 mg/kg of liposomal amphotericin B (3 mg/kg per day for 5 days, followed by 3 mg/kg administered as an outpatient regimen on day 10).
引用
收藏
页码:271 / 277
页数:7
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