Amphotericin B: Difference between revisions

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*Causes renal dysfunction, among other things
*Causes renal dysfunction, among other things


== Clinical Breakpoints ==
{| class="wikitable"
! rowspan="2" |Species
! rowspan="2" |ECV (μg/mL)
! colspan="4" |Breakpoints (μg/mL)
! colspan="4" |Breakpoints (mm)
|-
!S
!SDD
!I
!R
!S
!SDD
!I
!R
|-
|[[Candida albicans]]
|2
|
|
|
|
|
|
|
|
|-
|[[Candida dubliniensis]]
|
|
|
|
|
|
|
|
|
|-
|[[Candida glabrata]]
|2
|
|
|
|
|
|
|
|
|-
|[[Candida guilliermondii]]
|
|
|
|
|
|
|
|
|
|-
|[[Candida krusei]]
|2
|
|
|
|
|
|
|
|
|-
|[[Candida lusitaniae]]
|
|
|
|
|
|
|
|
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|-
|[[Candida parapsilosis]]
|2
|
|
|
|
|
|
|
|
|-
|[[Candida tropicalis]]
|2
|
|
|
|
|
|
|
|
|-
|[[Cryptococcus neoformans]]
|0.5
|
|
|
|
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|
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|-
|[[Cryptococcus gattii]]
|0.5-1
|
|
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|
|
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|-
|[[Aspergillus flavus]]
|4
|
|
|
|
|
|
|
|
|-
|[[Aspergillus fumigatus]]
|2
|
|
|
|
|
|
|
|
|-
|[[Aspergillus species]]
|2
|
|
|
|
|
|
|
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|-
|[[Aspergillus species]]
|4
|
|
|
|
|
|
|
|
|-
|[[Aspergillus versicolor]]
|2
|
|
|
|
|
|
|
|
|}
[[Category:Polyenes]]
[[Category:Polyenes]]

Revision as of 01:18, 20 January 2021

  • Last choice of antifungal due to side effect profile, but effective
  • Binds to ergosterol in fungal cell membrane and creates pores that cause leakage of monovalent ions
  • Causes renal dysfunction, among other things

Clinical Breakpoints

Species ECV (μg/mL) Breakpoints (μg/mL) Breakpoints (mm)
S SDD I R S SDD I R
Candida albicans 2
Candida dubliniensis
Candida glabrata 2
Candida guilliermondii
Candida krusei 2
Candida lusitaniae
Candida parapsilosis 2
Candida tropicalis 2
Cryptococcus neoformans 0.5
Cryptococcus gattii 0.5-1
Aspergillus flavus 4
Aspergillus fumigatus 2
Aspergillus species 2
Aspergillus species 4
Aspergillus versicolor 2