Does Lipid Emulsion Reduce Amphotericin B Nephrotoxicity? A Systematic Review and Meta-analysis
Author(s) -
Sóstenes Mistro,
Idalina Maciel,
R. G. de Menezes,
Zuinara Pereira Gusmão Maia,
Robert T. Schooley,
Roberto Badaró
Publication year - 2012
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cis290
Subject(s) - nephrotoxicity , medicine , meta analysis , amphotericin b , relative risk , confidence interval , emulsion , pharmacology , gastroenterology , toxicity , antifungal , chemistry , biochemistry , dermatology
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.
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