Baseline characteristics for 11 neonates treated with amphotericin B lipid complex (ABLC)
Patient no | Age (weeks) | Weight (kg) | Pre-existing conditions | Site of positive culture | Candida spp. | Reason for ABLC use |
1 | 5 | 0.7 | Prematurity (24 weeks), cardiac and aortic thrombi, NEC | Blood, skin/soft tissue, lung1-150 | C albicans | Nephrotoxicity, failure of prior antifungal |
2 | 8 | 5.0 | Intestinal obstruction s/p laparotomy, Hirschsprung's disease | Blood, lung1-150 | C parapsilosis | Failure of prior antifungal |
3 | 14 | 1.4 | Prematurity, NEC | Blood | C tropicalis | Failure of prior antifungal |
4 | 7 | 3.5 | Transposition of the great vessels s/p repair, renal failure post-op, peritoneal dialysis | Blood, urine, peritoneal fluid | C albicans | Nephrotoxicity, failure of prior antifungal |
5 | 3 | 1.1 | Prematurity (26 weeks), NEC, bowel perforation | Blood, urine, peritoneal fluid | C albicans | Nephrotoxicity, failure of prior antifungal |
6 | 3 | 0.8 | Prematurity (26 weeks), repair of PDA, NEC, bowel perforation | Blood, urine, peritoneal fluid | C albicans | Nephrotoxicity |
7 | 4 | 3.7 | Repair of PDA, chest tube | Blood | C tropicalis | Failure of prior antifungal |
8 | 3 | 2.3 | Prematurity, congenital renal dysplasia 2° posterior urethral valves | Skin/soft tissue, urine | C albicans | Underlying renal disease |
9 | 8 | 1.1 | Prematurity (26 weeks), NEC, prior candidaemia | Blood | C parapsilosis | Failure of prior antifungal |
10 | 7 | 0.9 | Prematurity (23 weeks), NEC, decubiti | Blood, skin/soft tissue | C parapsilosis | Failure of prior antifungal |
11 | 8 | 2.5 | Prematurity (32 weeks), Langerhans cell histiocytosis, renal failure, neutropenia | Blood | C albicans,C glabrata | Underlying renal disease, failure of prior antifungal |
↵1-150 For patients 1 and 2, yeast grew from endotracheal tube aspirates and chest radiographs showed pneumonia. The treating clinician made the diagnosis of Candidapneumonia.
NEC, necrotising enterocolitis; PDA, patent ductus arteriosus.