A Prospective Observational Multi-institutional Study on Invasive Fungal Infections Following Chemotherapy for Acute Myeloid Leukemia (MISFIC Study): A Real World Scenario from India.

AML Fungal infection Incidence India

Journal

Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion
ISSN: 0971-4502
Titre abrégé: Indian J Hematol Blood Transfus
Pays: India
ID NLM: 9425818

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 18 07 2019
accepted: 13 08 2019
entrez: 12 3 2020
pubmed: 12 3 2020
medline: 12 3 2020
Statut: ppublish

Résumé

We performed a prospective multi-centre observational study to understand the incidence of IFI in patients with AML in India with use of anti-fungal prophylaxis. All patients with AML receiving either induction chemotherapy or salvage chemotherapy between November 2014 and February 2016 were included in this prospective observational study from 10 Indian centres. IFI was defined as per the revised EORTC-MSG criteria. Data on type of chemotherapy used, type of anti-fungal prophylaxis used, time to neutrophil recovery, incidence of IFI and survival were collected. Two hundred patients (118 male and 82 females) with a median age of 35 years (range: 2-66) were recruited. One hundred and eighty-six (93%) had newly diagnosed acute myeloid leukemia (AML) while 14 (7%) had relapsed disease. IFI occurred in 53 patients (26.5%) with proven or probable IFI occurring in 17 (8.5%). Use of posaconazole prophylaxis (

Identifiants

pubmed: 32158091
doi: 10.1007/s12288-019-01173-y
pii: 1173
pmc: PMC7042421
doi:

Types de publication

Journal Article

Langues

eng

Pagination

97-103

Informations de copyright

© Indian Society of Hematology and Blood Transfusion 2019.

Déclaration de conflit d'intérêts

Conflict of interestThe authors declare that they have no conflicts of interest.

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Auteurs

Biju George (B)

1Christian Medical College, Vellore, India.

Hari Menon (H)

2Tata Memorial Hospital, Mumbai, India.

Dinesh Bhurani (D)

3Rajiv Gandhi Cancer Institute, New Delhi, India.

Sharat Damodar (S)

Narayana Hirudalaya, Bengaluru, India.

Shashi Apte (S)

Sahayadri Hospital, Pune, India.

Tulika Seth (T)

6All India Institute of Medical Sciences, New Delhi, India.

Ajay Sharma (A)

R and R Hospital, New Delhi, India.

Radhe Shyam (R)

8HCG Hospital, Bengaluru, India.

Pankaj Malhotra (P)

9Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Jose Easow (J)

Apollo Specialty Hospital, Chennai, India.

Kavitha M Lakshmi (KM)

1Christian Medical College, Vellore, India.

Narendra Agrawal (N)

3Rajiv Gandhi Cancer Institute, New Delhi, India.

Manju Sengar (M)

2Tata Memorial Hospital, Mumbai, India.

K S Nataraj (KS)

Narayana Hirudalaya, Bengaluru, India.

Rayaz Ahmed (R)

3Rajiv Gandhi Cancer Institute, New Delhi, India.

Sanjeevan Sharma (S)

R and R Hospital, New Delhi, India.

Alka Khadwal (A)

9Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Gaurav Prakash (G)

9Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Aby Abraham (A)

1Christian Medical College, Vellore, India.

Anup Devasia (A)

1Christian Medical College, Vellore, India.

Anu Korula (A)

1Christian Medical College, Vellore, India.

Vikram Mathews (V)

1Christian Medical College, Vellore, India.

Classifications MeSH