Is it time to abandon the use of amphotericin B bladder irrigation?

Published

Journal Article (Review)

In this article, we review the issues surrounding funguria and its management. With this background, the value of bladder irrigation with amphotericin B for the management of funguria is directly examined. Amphotericin B bladder irrigation is used frequently in clinical practice. Although its use is not standardized, there are multiple studies that attempt to show the impact on funguria management. These bladder irrigations have been used either for treatment of funguria or (less commonly) as a diagnostic test in attempts to identify upper urinary tract disease. Despite their widespread therapeutic use and relative safety, it is not clear from our experience and a review of the literature that amphotericin B bladder irrigations have any diagnostic or therapeutic value. The patient may be best served by removal of the urinary catheter, if possible, rather than by instillation of bladder irrigation with amphotericin B.

Full Text

Duke Authors

Cited Authors

  • Drew, RH; Arthur, RR; Perfect, JR

Published Date

  • May 15, 2005

Published In

Volume / Issue

  • 40 / 10

Start / End Page

  • 1465 - 1470

PubMed ID

  • 15844069

Pubmed Central ID

  • 15844069

Electronic International Standard Serial Number (EISSN)

  • 1537-6591

Digital Object Identifier (DOI)

  • 10.1086/429722

Language

  • eng

Conference Location

  • United States