Academic Journal

Application and evaluation of topical amphotericin B for the treatment of respiratory fungal infections

التفاصيل البيبلوغرافية
العنوان: Application and evaluation of topical amphotericin B for the treatment of respiratory fungal infections
المؤلفون: Ning Cui, Jingming Zhao
المصدر: BMC Infectious Diseases, Vol 24, Iss 1, Pp 1-9 (2024)
بيانات النشر: BMC, 2024.
سنة النشر: 2024
المجموعة: LCC:Infectious and parasitic diseases
مصطلحات موضوعية: Amphotericin B, Topical administration, Fungal infection, Infectious and parasitic diseases, RC109-216
الوصف: Abstract Background In recent years, the prevalence of respiratory fungal diseases has increased. Polyene antifungal drugs play a pivotal role in the treatment of these conditions, with amphotericin B (AmB) being the most representative drug. This study aimed to evaluate the efficacy and safety of topical administration of AmB in the treatment of respiratory fungal infections. Methods We conducted a retrospective study on hospitalized patients treated with topical administered AmB for respiratory fungal infections from January 2014 to June 2023. Results Data from 36 patients with invasive pulmonary fungal infections treated with topical administration of AmB were collected and analyzed. Nebulization was administered to 27 patients. After the treatment, 17 patients evidenced improved conditions, whereas 10 patients did not respond and died in the hospital. One patient experienced an irritating cough as an adverse reaction. Seven patients underwent tracheoscopic instillation, and two received intrapleural irrigation; they achieved good clinical therapeutic efficacy without adverse effects. Conclusion The combined application of systemic antifungal treatment and topical administration of AmB yielded good therapeutic efficacy and was well-tolerated by the patients. Close monitoring of routine blood tests, liver and kidney function, and levels of electrolytes, troponin, and B-type natriuretic peptide supported this conclusion.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2334
Relation: https://doaj.org/toc/1471-2334
DOI: 10.1186/s12879-024-09342-9
URL الوصول: https://doaj.org/article/184fe5c8826f4232a20897c349c61ee3
رقم الانضمام: edsdoj.184fe5c8826f4232a20897c349c61ee3
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712334
DOI:10.1186/s12879-024-09342-9