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Intravenous Liposomal Amphotericin B Efficacy and Safety for Cutaneous and Mucosal Leishmaniasis: A Systematic Review and Meta-analysis.

Jeffrey ChivinskiKeren NathanFaheel NaeemTaline EkmekjianMichael D LibmanSapha Barkati
Published in: Open forum infectious diseases (2023)
Observational data on cure rates using L-AmB suggest efficacy between 80% and 90%, similar to rates reported for other antileishmanial drugs. The highest efficacy rates were observed when a single cycle of L-AmB was administered to patients with mild-moderate CL and ML. The limitations of this study include the heterogeneity observed among the included studies and the increased likelihood of publication bias associated with the inclusion of case reports and case series. This systematic review further illustrates the need for high-quality comparative trials of intravenous L-AmB for the treatment of tegumentary leishmaniasis.
Keyphrases
  • systematic review
  • high dose
  • meta analyses
  • single cell
  • case report
  • randomized controlled trial
  • big data