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Table 2 Amphotericin-B nephrotoxicity; data cited in 2009 Infectious Disease Society of America guidelines [1]

From: Treatment of candidemia in adult patients without neutropenia - an inconvenient truth

 

Wingard et al. [12]

Bates et al. [11]

Year of publication

1999

2001

Data collection

Jan 1991 to Dec 1993

May 1993 to Apr 1997

Inclusion criteria

1. Allogeneic BMT

2. Autologous BMT

3. Solid organ transplantation

4. Immunosuppressive conditions not related to transplantation

Not patients but number of admissions; at least 156 repeated measurements; major violation of the assumptions of statistical methods used

Infection

Aspergillosis

Unknown

Duration of AmB (days)

20.4

14.8

AmB cumulative dose (g)

Unknown

0.93

AmB daily dose (mg/kg)

Unknown

Unknown

Concomitant nephrotoxic agents

87%

Collected (not given)

Risk of death

HD >3×

ARF >6.6×

  1. AmB, Amphotericin-B; ARF, acute renal failure defined as a 50% increase in the baseline creatinine level, with a peak of >2.0 mg/dL; BMT, bone marrow transplant; HD, haemodialysis.