期刊
ANNALS OF HEMATOLOGY
卷 93, 期 9, 页码 1449-1456出版社
SPRINGER
DOI: 10.1007/s00277-014-2108-y
关键词
Invasive fungal infection; Antifungal prophylaxis; Itraconazole; Fluconazole; Posaconazole; Amphotericin B; Liposomal
类别
资金
- MSD
- Gilead Sciences GmbH
- Pfizer
- Astellas
- Innovative Medicines Initiative Joint Undertaking [115523]
- European Union's Seventh Framework Programme (FP7) company
- EFPIA company
- Gilead Sciences
- Gilead
- MDS
- Roche Molecular Diagnostics
- German Federal Ministry of Research and Education (BMBF) [01KN1106]
- 3 M
- Actelion
- Basilea
- Bayer
- Celgene
- Cubist
- F2G
- Genzyme
- GSK
- Merck/MSD
- Miltenyi
- Optimer
- Quintiles
- Viropharma
Invasive fungal infections cause substantial morbidity and mortality in immunocompromised patients, particularly in those with haematological malignancies and recipients of allogeneic haematopoietic stem cell transplantation. Difficulties in diagnosing invasive fungal infections and subsequent delays in treatment initiation lead to unfavourable outcomes and emphasise the importance of prophylaxis. Since the recommendations of the Infectious Diseases Working Party of the German Society for Haematology and Oncology in 2009, results of 14 additional clinical studies have been published comprising 2,899 patients and initiating this update. Key recommendations for adult patients are as follows: Posaconazole remains the drug of choice during remission-induction chemotherapy in acute myeloid leukaemia, myelodysplastic syndrome and allogeneic haematopoietic stem cell transplantation with graft versus host disease (AI). In the pre-engraftment period of allogeneic transplantation, several antifungals are appropriate and can be recommended with equal strength: voriconazole (BI), micafungin (BI), fluconazole (BI) and posaconazole (BII). There is poor evidence regarding antifungal prophylaxis in the post-engraftment period of allogeneic haematopoietic stem cell transplantation if no steroids for treatment of graft versus host disease are required. Aerosolised liposomal amphotericin B inhalation in conjunction with fluconazole can be used in patients with prolonged neutropenia (BII).
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据