用于二次预防的脂质体安波特素:系统性审查和元分析
Farid Javandoust Gharehbagh1, Soheil Roshanzamiri2, Mohammad Farjami3
1Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
概括
脂质体安福特 B (L-AMB) 显示,二次抗真菌预防的死亡率较低. 虽然L-AMB与脏问题和低有关,但治疗中止率仍然很低.
科学领域:
- 菌类学 菌类学是指菌类学.
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 二次预防对于预防侵入性真菌感染至关重要.
- 脂质组氨基乙酸 (L-AMB) 是一种用于预防的抗真菌药物.
- 在二次预防中,对L-AMB进行比较的安全数据至关重要.
研究的目的:
- 系统地审查和分析L-AMB与其它抗真菌剂对二次预防的安全性.
- 为了比较L-AMB和非L-AMB治疗之间的死亡率,突破性感染和不良事件.
主要方法:
- 在国际数据库中进行全面的文献搜索.
- 包括10项比较L-AMB和非L-AMB (NLAMB) 抗真菌药物的研究.
- 对死亡率,突破性感染,低血量和毒性的综合分析.
主要成果:
- 在L-AMB组 (10%) 与NLAMB (0%) 相比,观察到较低的死亡率,赔率比率表明L-AMB的死亡率降低.
- 在L-AMB和NLAMB组之间,突破性侵入性真菌感染没有显著差异.
- 在L-AMB组的不良事件包括病 (36%) 和低血 (18%).
结论:
- 在二次抗真菌预防中,L-AMB表明死亡率较低.
- 没有发现突破性感染率的统计学上显著差异.
- 虽然L-AMB与脏病和低血有关,但由于不良反应而中止治疗的比例并不显著.
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