Evaluation of renal effects of liposomal amphotericin B in children with malignancies with KDIGO and RIFLE criteria (notice n° 759925)

détails MARC
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control field 20250123102020.0
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Language code of text/sound track or separate title fre
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Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Devrim, Fatma
Relator term author
245 00 - TITLE STATEMENT
Title Evaluation of renal effects of liposomal amphotericin B in children with malignancies with KDIGO and RIFLE criteria
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2021.<br/>
500 ## - GENERAL NOTE
General note 81
520 ## - SUMMARY, ETC.
Summary, etc. Background. – Amphotericin B is a broad-spectrum antifungal agent and is the backbone of the treatment for medically important opportunistic fungal pathogens in children. This study aimed to compare the nephrotoxicity associated with L-AmB in children with acute lymphoblastic leukemia and acute myeloid leukemia. Materials and methods. – A total of 112 pediatric acute lymphoblastic leukemia or acute myeloid leukemia patients who received treatment with L-AmB (Ambisome1) at the University of Health Sciences Dr Behcet Uz Children’s Hospital over 7 years were included. The incidence of hypokalemia, decreased estimated glomerular filtration rate and presence of acute kidney injury was recorded. Results. – The average L-AmB treatment duration was 17.1 ± 15.0 days. Five patients (4.4%) of the patients had grade I acute renal injury according to KDIGO criteria and 16 patients (14.2%) had increased risk for kidney injury according to RIFLE criteria. There were no patients with eGFR decrease above 50% and no renal injury and failure were observed during L-AmB treatment. The rate of patients with hypokalemia in the pretreatment was 17.9% and the post-L-AmB group was 50.0%. The rate of hypokalemia was higher in the posttreatment group (P = 0.0015). Among the 112 patients, only two patients (1.7%) required cessation of L-AmB treatment due to resistant hypokalemia despite supplementation. Conclusions. – Hypokalemia was more common compared to glomerulotoxicity and acute renal injury (according to KDIGO and RIFLE criteria) in pediatric leukemia patients treated with L-AmB. Hypokalemia developed in nearly half of the patients and the study shows the need for randomized controlled trials and strategies for hypokalemia associated with L-AmB treatment.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Children
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Liposomal amphotericin B
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Malignancies
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element RIFLE
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element KDIGO
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Çağlar, İlknur
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Okur Acar, Sultan
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Akkuş, Şeyma
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Dinçel, Nida
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Yılmaz, Ebru
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Tahta, Neryal
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Demirağ, Bengü
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Hilkay Karapınar, Tuba
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Gözmen, Salih
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Oymak, Yeşim
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Vergin, Canan
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Bayram, Nuri
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Devrim, İlker
Relator term author
786 0# - DATA SOURCE ENTRY
Note Néphrologie & Thérapeutique | Volume 17 | 7 | 2021-07-26 | p. 507-511 | 1769-7255
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-nephrologie-et-therapeutique-2021-7-page-507?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-nephrologie-et-therapeutique-2021-7-page-507?lang=en&redirect-ssocas=7080</a>

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