Risk factors for breakthrough invasive fungal infection during secondary prophylaxis
Author(s) -
Oliver A. Cornely,
Angelika Böhme,
Dietmar Reichert,
Stefan Reuter,
Georg Maschmeyer,
Johan Maertens,
Dieter Buchheidt,
Monika Paluszewska,
Dorothee Arenz,
Ullrich Bethe,
Jenny Effelsberg,
Harry Lövenich,
Michal Sieniawski,
Antje Haas,
Hermann Einsele,
Hartmut Eimermacher,
Rodrigo Martino,
Gerda Silling,
Moritz Hahn,
Sidonie Wacker,
Andrew J. Ullmann,
Meinolf Karthaus
Publication year - 2008
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkn027
Subject(s) - chemotherapy , medicine , neutropenia , intensive care medicine , risk factor , immunology
Intensive chemotherapy with severe neutropenia is associated with invasive fungal infections (IFIs) leading to high mortality rates. During leukaemia induction chemotherapy, IFI often prohibited further curative treatment, thus predisposing for leukaemia relapse. Continuing myelosuppressive chemotherapy after diagnosis of IFI has become feasible with the now expanding arsenal of safe and effective antifungals. Secondary prophylaxis of IFI is widely administered, but reliable data on outcome and risk factors for recurrent IFI during subsequent chemotherapy are not available. This study determines risk factors for recurrent IFI in leukaemia patients.
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