Table 5.
Authors | Underlying disease (No of patients) | Infection treated | Preparation and administration of amphotericin B in intralipid |
---|---|---|---|
Chavanet et al12 | HIV positive (22) | Oral candidiasis | 1.0 mg/kg/day amphotericin B (mixed directly with intralipid 20%) as 1 hour intravenous infusion for 4 days* |
Moreau et al13 | Tumour (32) | Fever of unknown origin | 0.7-1.0 mg/kg/day amphotericin B (dissolved in glucose then mixed with intralipid 20%) as a 4 hour intravenous infusion for 11/18 days* |
Caillot et al14 | Haematological disorders (42) | Fever or documented mycosis | 1.0-1.1 mg/kg/day amphotericin B (mixed directly with intralipid 20%) as a 2 hour intravenous infusion for 8/12 days* |
Thakur8 | Kala-azar (22) | Visceral leishmaniasis | 0.05-1.0 mg/kg/day amphotericin B (dissolved in water then mixed with intralipid 10%) as a 2-4 hour intravenous infusion until dose of 20 mg/kg reached* |
Schoffski et al | Tumour (51) | Fever of unknown origin or pneumonia | 0.75 mg/kg/day amphotericin B (Moreau type preparation) as a 1-4 hour intravenous infusion for 15/13 days** |
Significant reduction of amphotericin B related side effects such as renal toxicity, fever, or chills.
Significant increase in pulmonary toxicity without evidence of renal protection or improved subjective tolerance.