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Revista del Nacional (Itauguá)

versión impresa ISSN 2072-8174

Resumen

YRAZUSTA, Patricia Abigail Arias; TORALES, Gladys Godoy; SAMUDIO, Gloria  y  APARICIO, Chantal Marie Real. Adverse effects of amphotericin B deoxycholate in neonates of the National Hospital of Itauguá. Rev. Nac. (Itauguá) [online]. 2018, vol.10, n.1, pp.17-35. ISSN 2072-8174.  https://doi.org/10.18004/rdn2018.0010.01.017-035.

Introduction:

in recent decades, the agent of choice for the treatment of most systemic mycoses has been amphotericin B which, despite the toxic effects, continues to play an important role in the treatment of fungal infections.

Objective:

to determine the adverse effects associated with the use of amphotericin B in neonates of the Neonatology Service of the National Hospital of Itauguá, in the period 2013 - 2015.

Materials and methods: retrospective case series study of newborns treated with amphotericin B.

Results:

among 28 newborns treated with amphotericin B, there was a higher prevalence in males. With regard to age, more than half of the newborns were pre-term in the group studied. There was a predominance of low birth weight (32.14%). The risk factors showed that 53.5% did not have a history of sepsis. The mean age of onset of amphotericin was 19 ± 9 days, more than half of the infants used progressive dose from 0.5 mg / kp / day to 1 mg / kp / day, in 24 hours. 96.4% received infusion of amphotericin B for 4 hours, 1 case required 6 hours. Among the side effects, 35.7% of the patients presented anemia, the most frequent water and electrolyte disturbance was hypokalemia, among the signs were tachycardia and hypotension.

Conclusions:

the most striking side effects found during treatment with amphotericin B were anemia, Sodium and Potassium alterations.

Palabras clave : amphotericin B; adverse effects; newborns..

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