Aerosolized pentamidine as second line therapy in patients with AIDS and Pneumocystis carinii pneumonia.
نویسندگان
چکیده
The use of aerosolized pentamidine was investigated in ten patients with the acquired immunodeficiency syndrome (AIDS) and Pneumocystis carinii pneumonia (PCP) who had previous or concurrent severe adverse reactions or contraindications to trimethoprim-sulfamethoxazole or parenteral pentamidine. A dose of 600 mg pentamidine in 6 ml sterile water, aerosolized in a small-particle producing jet nebulizer was administered for 25 minutes once daily for an average of 10.5 days to these ten patients. All patients improved their arterial O2 saturation and showed clinical and roentgenographic improvement within six to 21 days of aerosol pentamidine therapy. No adverse systemic reactions occurred. The results of this small open trial indicate that aerosolized pentamidine is effective and can be given safely to AIDS patients with PCP who have had adverse reactions to trimethoprim-sulfamethoxazole or parenteral pentamidine.
منابع مشابه
Successful treatment with aerosolized pentamidine of Pneumocystis carinii pneumonia in rats.
We examined both the therapeutic efficacy and tissue distribution of aerosolized pentamidine in immunosuppressed rats with Pneumocystis carinii pneumonia. In rats immunosuppressed by 5 weeks of pretreatment with dexamethasone, a 2-week course of 5 mg of aerosolized pentamidine per kg per day, administered free or encapsulated in the drug carrier system (liposomes), eradicated P. carinii pneumon...
متن کاملTreatment and prophylaxis of Pneumocystis carinii pneumonia.
Trimethoprim-sulfamethoxazole and parenteral pentamidine isethionate are effective in 60 to 80 per cent of AIDS patients with pneumocystis pneumonia. Adverse reactions are frequent with both agents, but because the adverse reactions are less severe with trimethoprim-sulfamethoxazole, this agent is the drug of choice for patients who are not known to be intolerant of it. The recommended duration...
متن کاملRSPT 2317 Anti-Infectives & Antibiotics AEROSOLIZED ANTI-INFECTIVE AGENTS Generic name: Pentamidine isethionate Brand name: NebuPent Mode of action: Pentamidine is an antiprotozoal, active against Pneumocystis carinii, the causative organism of Pneumocystis carinii pneumonia (PCP) in patients
متن کامل
Bilateral pneumothoraces hasten mortality in AIDS patients receiving secondary prophylaxis with aerosolized pentamidine. Association with a lower Dco prior to receiving aerosolized pentamidine.
We have administered aerosolized pentamidine (AP) to 48 AIDS patients for secondary prophylaxis of Pneumocystis carinii pneumonia (PCP). Pentamidine 60 mg was administered by ultrasonic nebulization (Fisoneb) five times during the first two weeks and then every two weeks. The mean follow-up was 343 +/- 22 days. PCP recurred in ten patients, 297 +/- 33 days after starting AP therapy. All respond...
متن کاملCatheter-related infections and associated septicemia.
Communications to the Editor not have active Pneumocystis carinii pneumonia (PCP). All of these patients had a history of single or recurrent episodes of PCP and were receiving aerosolized pentamidine isethionate as prophylaxis against recurrence of PCP It was suspected that the pneumothoraces were caused by coughing due to the irritative effect of pentamidine therapy on the airways superimpose...
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عنوان ژورنال:
- Chest
دوره 95 4 شماره
صفحات -
تاریخ انتشار 1989