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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1997-3-28
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pubmed:abstractText |
In this prospective, randomized study fluconazole and amphotericin B/5-flucytosine were compared in the treatment of systemic candidiasis. Seventy-two non-neutropenic intensive care patients with systemic Candida infections were enrolled. Thirty-six patients were randomly assigned to receive fluconazole (400 mg on the first day then 200 mg) and 36 were randomized to amphotericin B/5-flucytosine (1.0-1.5 mg/kg body weight every other day and 3 x 2.5 g flucytosine/day) for 14 days following the diagnosis. There was no statistically significant difference in clinical outcome in regard to the treatment of pneumonia and sepsis: 18/28 of the patients were treated successfully with fluconazole and 17/27 with amphotericin B/5-flucytosine. For the treatment of peritonitis, however, amphotericin B/5-flucytosine was more effective than fluconazole (55% vs. 25%). Furthermore, amphotericin B/5-flucytosine was found to be superior to fluconazole with regard to pathogen eradication (86% vs. 50%). Fluconazole was associated with less toxicity than amphotericin B/5-flucytosine.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0300-8126
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
426-32
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:9007589-Adult,
pubmed-meshheading:9007589-Aged,
pubmed-meshheading:9007589-Aged, 80 and over,
pubmed-meshheading:9007589-Amphotericin B,
pubmed-meshheading:9007589-Antifungal Agents,
pubmed-meshheading:9007589-Candidiasis,
pubmed-meshheading:9007589-Cross Infection,
pubmed-meshheading:9007589-Drug Therapy, Combination,
pubmed-meshheading:9007589-Female,
pubmed-meshheading:9007589-Fluconazole,
pubmed-meshheading:9007589-Flucytosine,
pubmed-meshheading:9007589-Fungemia,
pubmed-meshheading:9007589-Humans,
pubmed-meshheading:9007589-Intensive Care,
pubmed-meshheading:9007589-Male,
pubmed-meshheading:9007589-Middle Aged,
pubmed-meshheading:9007589-Prospective Studies,
pubmed-meshheading:9007589-Treatment Outcome
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pubmed:articleTitle |
A randomized study comparing fluconazole with amphotericin B/5-flucytosine for the treatment of systemic Candida infections in intensive care patients.
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pubmed:affiliation |
Max-von-Pettenkofer Institut, München, Germany.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Multicenter Study
|