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Current Fungal Infection Reports

, Volume 6, Issue 1, pp 81–94 | Cite as

Is There Still a Place for Conventional Amphotericin B in the Treatment of Neonatal Fungal Infections?

  • Zoe-Dorothea Pana
  • Maria Ioannidou
  • Emmanuel RoilidesEmail author
Current Management of Fungal Infections (L Ostrosky-Zeichner, Section Editor)
  • 137 Downloads

Abstract

Neonatal invasive fungal infections (IFIs) remain an increasing problem associated with high rates of morbidity and mortality, as well as late-onset neurodevelopmental implications. Invasive candidiasis remains the leading neonatal IFI. Candida albicans is the fungal species most often affecting this population, although a changing epidemiologic incidence to non-albicans Candida species is reported in some neonatal intensive care units. Many treatment recommendations are extrapolated from adult populations, emphasizing the need to establish the optimal antifungal agent, dosage, and duration of therapy in neonates. Historically, conventional amphotericin B has been considered an efficient and safe treatment approach for most neonatal IFIs. More recently, lipid formulations of amphotericin B have been studied, used alone or in combination with other antifungal agents such as azoles or echinocandins. The aim of this article is to review the published experience in the use of amphotericin B formulations to treat neonatal IFIs.

Keywords

Neonates Infants Fungal infections Amphotericin B Treatment Antifungal agents Candida infection Candidiasis Drug combinations 

Notes

Disclosure

Conflicts of Interest: Z-D. Pana: none; M. Ioannidou: none; E. Roilides: Payment for speaking and development of educational presentations from Gilead, Cephalon, Pfizer, Schering, Merck, and Astellas.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Zoe-Dorothea Pana
    • 1
  • Maria Ioannidou
    • 1
  • Emmanuel Roilides
    • 1
    Email author
  1. 1.3rd Department of PediatricsHippokration HospitalThessalonikiGreece

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