Abstract

Amphotericin B deoxycholate (AmBD) and amphotericin B colloidal dispersion (AmBCD) are the two most commonly used antifungals for invasive fungal infections (IFI) among paediatric patients. The objective of this pilot study was to compare the efficacy, adverse effects and cost-effectiveness between AmBD and AmBCD in the treatment of IFI among paediatric patients admitted at Universiti Kebangsaan Malaysia Medical Centre (UKMMC).Methods: Secondary data analysis of the medical records of all paediatric patients with IFI was obtained and data extraction was performed for patients admitted between July 1, 2006 and June 30, 2011. Efficacy of treatment was determined and reports of adverse effects were noted.Results: Between July 1, 2006 and June 30, 2011, thirty-five patients received AmBD-only treatment and five patients received AmBCD-only treatment. Twenty-four patients were males and the mean age was 7.18 (SD 4.59) years. On average, the AmBCD treatment course was significantly more expensive than AmBD (p

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