WordNet
- the 2nd letter of the Roman alphabet (同)b
- the blood group whose red cells carry the B antigen (同)type_B, group B
- having characteristics of both an acid and a base and capable of reacting as either (同)amphiprotic
- an antibiotic and antifungal agent
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English Journal
- ESCMID and ECMM joint clinical guidelines for the diagnosis and management of mucormycosis 2013.
- Cornely OA1, Arikan-Akdagli S, Dannaoui E, Groll AH, Lagrou K, Chakrabarti A, Lanternier F, Pagano L, Skiada A, Akova M, Arendrup MC, Boekhout T, Chowdhary A, Cuenca-Estrella M, Freiberger T, Guinea J, Guarro J, de Hoog S, Hope W, Johnson E, Kathuria S, Lackner M, Lass-Flörl C, Lortholary O, Meis JF, Meletiadis J, Muñoz P, Richardson M, Roilides E, Tortorano AM, Ullmann AJ, van Diepeningen A, Verweij P, Petrikkos G.Author information 1Department I of Internal Medicine, Clinical Trials Centre Cologne, ZKS Köln, BMBF 01KN1106, Centre for Integrated Oncology CIO KölnBonn, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.AbstractThese European Society for Clinical Microbiology and Infectious Diseases and European Confederation of Medical Mycology Joint Clinical Guidelines focus on the diagnosis and management of mucormycosis. Only a few of the numerous recommendations can be summarized here. To diagnose mucormycosis, direct microscopy preferably using optical brighteners, histopathology and culture are strongly recommended. Pathogen identification to species level by molecular methods and susceptibility testing are strongly recommended to establish epidemiological knowledge. The recommendation for guiding treatment based on MICs is supported only marginally. Imaging is strongly recommended to determine the extent of disease. To differentiate mucormycosis from aspergillosis in haematological malignancy and stem cell transplantation recipients, identification of the reverse halo sign on computed tomography is advised with moderate strength. For adults and children we strongly recommend surgical debridement in addition to immediate first-line antifungal treatment with liposomal or lipid-complex amphotericin B with a minimum dose of 5 mg/kg/day. Amphotericin B deoxycholate is better avoided because of severe adverse effects. For salvage treatment we strongly recommend posaconazole 4 × 200 mg/day. Reversal of predisposing conditions is strongly recommended, i.e. using granulocyte colony-stimulating factor in haematological patients with ongoing neutropenia, controlling hyperglycaemia and ketoacidosis in diabetic patients, and limiting glucocorticosteroids to the minimum dose required. We recommend against using deferasirox in haematological patients outside clinical trials, and marginally support a recommendation for deferasirox in diabetic patients. Hyperbaric oxygen is supported with marginal strength only. Finally, we strongly recommend continuing treatment until complete response demonstrated on imaging and permanent reversal of predisposing factors.
- Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.Clin Microbiol Infect.2014 Apr;20 Suppl 3:5-26. doi: 10.1111/1469-0691.12371.
- These European Society for Clinical Microbiology and Infectious Diseases and European Confederation of Medical Mycology Joint Clinical Guidelines focus on the diagnosis and management of mucormycosis. Only a few of the numerous recommendations can be summarized here. To diagnose mucormycosis, direct
- PMID 24479848
- Antifungal prophylaxis following heart transplantation: systematic review.
- Uribe LG1, Cortés JA, Granados CE, Montoya JG.Author information 1Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA; Department of Internal Medicine, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia; Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.AbstractPatients with heart transplantation have a high incidence of infectious complications, especially fungal infections. The aim of the systematic review was to determine the best pharmacological strategy to prevent fungal infections among patients with heart transplant. We searched the PubMed and Embase databases for studies reporting the effectivenesss of pharmacologic strategies to prevent fungal infections in adult patient with a heart transplant. Our search yielded five studies (1176 patients), four of them with historical controls. Two studies used inhaled amphotericin B deoxycholate, three used itraconazole and one used targeted echinocandin. All studies showed significant reduction in the prophylaxis arm. Different products, doses and outcomes were noted. There is a highly probable benefit of prophylaxis use, however, better studies with standardised doses and comparators should be performed.
- Mycoses.Mycoses.2014 Mar 3. doi: 10.1111/myc.12179. [Epub ahead of print]
- Patients with heart transplantation have a high incidence of infectious complications, especially fungal infections. The aim of the systematic review was to determine the best pharmacological strategy to prevent fungal infections among patients with heart transplant. We searched the PubMed and Embas
- PMID 24589065
Japanese Journal
- Comparative study of the efficacy of liposomal amphotericin B and amphotericin B deoxycholate against six species of Zygomycetes in a murine lethal infection model
- TAKEMOTO Koji,YAMAMOTO Yutaka,KANAZAWA Katsunori
- Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 16(6), 388-395, 2010-12-01
- NAID 10027655998
- Evaluation of Antifungal Pharmacodynamic Characteristics of AmBisome against Candida albicans
- TAKEMOTO Koji,YAMAMOTO Yutaka,UEDA Yutaka
- Microbiology and immunology 50(8), 579-586, 2006-08-20
- NAID 10018168232
Related Links
- Amphotericin B (AMB) binds to sterols disrupting the fungal membrane, resulting in leakage and eventually cellular death.
★リンクテーブル★
[★]
- 英
- amphotericin B deoxycholate, D-AMB, AMPH–B deoxycholate, d-AMPH
- 商
- ファンギゾン
- 関
- アムホテリシンB、アムホテリシンBリポソーム製剤
[★]
- Mg2+存在下でC3, B, Dが反応してC3bBbとなり、これがC3転換酵素(C3bBb)あるいはC5転換酵素(C3bBb3b)を形成する。これらはP(properdin)と結合して活性化し、それぞれC3、C5を活性化する
[★]
アンホテリシン、アムホテリシン
- 関
- amphotericin B
[★]
- 関
- deoxycholic acid
[★]
- 関
- both sexes