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Liposomal Amphotericin B (AmBisome) in the Treatment of Complicated Kala-Azar Under Field Conditions.

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dc.contributor Medecins Sans Frontieres Holland, The Netherlands.
dc.creator Seaman, J
dc.creator Boer, C
dc.creator Wilkinson, R
dc.creator de Jong, J
dc.creator de Wilde, E
dc.creator Sondorp, H
dc.creator Davidson, R N
dc.date 1995-07
dc.date.accessioned 2017-01-31T07:09:28Z
dc.date.available 2017-01-31T07:09:28Z
dc.identifier Liposomal Amphotericin B (AmBisome) in the Treatment of Complicated Kala-Azar Under Field Conditions. 1995, 21 (1):188-93 Clin. Infect. Dis.
dc.identifier 1058-4838
dc.identifier 7578729
dc.identifier http://hdl.handle.net/10144/17671
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/17671
dc.identifier Clinical Infectious Diseases
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/17671
dc.description An open trial of liposomal amphotericin B (AmBisome [L-AmB]; Vestar, San Dimas, CA) for treatment of complicated visceral leishmaniasis was performed in Sudan. Forty-nine patients were treated, and there were six deaths (12% mortality); these were not attributed to therapy. Thirty-seven patients were selected for the trial because of (1) relapse after treatment with a combination of pentavalent antimony (Sbv) and aminosidine, (2) incomplete parasitological response to Sbv and aminosidine, or (3) severe illness. Drug regimen 1 (3 doses of 3-5 mg/kg, on days 0, 3, and 10) cured 8 (50%) of 16 patients; regimen 2 (6 doses of 3-5 mg/kg, on days 0, 3, 6, 8, 10, and 13) cured 14 (88%) of 16. For four of 10 partial responders, "rescue" therapy with L-AmB alone (3 mg/kg daily for 10 days) resulted in cure. Twelve less-unwell patients received regimen 3 (4 doses of 4-5 mg/kg, on days 0, 2, 5, and 7); seven of 11 patients evaluated (64%) were cured. The optimal regimen of L-AmB in these circumstances is administration of 4 mg/kg on days 0, 3, 6, 8, 10, and 13.
dc.language en
dc.publisher Published by: Infectious Diseases Society of America
dc.relation http://www.journals.uchicago.edu/page/cid/brief.html
dc.rights Archived on this site with permission and copyright by the Infectious Diseases Society of America
dc.title Liposomal Amphotericin B (AmBisome) in the Treatment of Complicated Kala-Azar Under Field Conditions.


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