[Neonatal candidiasis and liposomal amphotericin B treatment: our experience].

Autor:	Carrasco Sánchez P; Unidad de Neonatología, Hospital Universitario Virgen Macarena, Sevilla., Castillo Montero ML, Bejarano Palma A, López Sanz A, Santano Gallinato M, Sáenz Reguera C, Durán de Vargas L, González-Meneses A
Jazyk:	Spanish; Castilian
Zdroj:	Anales espanoles de pediatria [An Esp Pediatr] 1999 Sep; Vol. 51 (3), pp. 273-80.
Abstrakt:	Objective: Nosocomial Candidiasis in low birth weight (LBW) infants have increased. Toxic side effects limit the use of conventional Amphotericin B for treatment of fungal infections. The liposomal forms have lowered this risk considerably, even at higher doses. Our aim was to evaluate treatment response to liposomal Amphotericin B in neonates with Candidiasis. Patients and Methods: Fifteen neonates diagnosed both clinically and biologically of Candidiasis infection and who were treated with liposomal Amphotericin B from June 1994 through July 1997 were included. Duration of treatment, when culture became negative, secondary effects, complications, other medication, basal pathology and clinical course were analyzed. Results: Mean gestational age was 36 +/- 6 weeks and 60% were preterm. Mean age at diagnosis was 13.4 days. Eleven patients presented sepsis (1 C. Sp., 9 C. albicans and 1 C. parapsilosis). They were treated with liposomal Amphotericin B, starting dose 0.5-1 mg/kg/day). One patient had associated 5-fluorocytosine. Cultures became negative at approximately 13 days and mean duration of therapy was 21.13 days. Seven patients showed additional bacterial infections. Side effects during treatment were anemia and hypotension. Conclusions: Liposomal Amphotericin B has been effective in the treatment of Candidiasis without toxic signs that can be attributed solely to the medication.
Databáze:	MEDLINE
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