Does lipid emulsion reduce amphotericin B nephrotoxicity? A systematic review and meta-analysis

Clin Infect Dis. 2012 Jun;54(12):1774-7. doi: 10.1093/cid/cis290. Epub 2012 Apr 5.

Abstract

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.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Amphotericin B / administration & dosage*
  • Amphotericin B / adverse effects*
  • Antifungal Agents / administration & dosage*
  • Antifungal Agents / adverse effects*
  • Humans
  • Incidence
  • Kidney Diseases / chemically induced*

Substances

  • Antifungal Agents
  • liposomal amphotericin B
  • Amphotericin B