Fungal infection frequency in newly diagnosed acute myeloid leukaemia patients treated with venetoclax plus azacitidine with or without antifungal prophylaxis

被引:1
作者
Weinbergerova, Barbora [1 ,2 ]
Mayer, Jiri [1 ,2 ]
Kabut, Tomas [1 ,2 ]
Sperr, Wolfgang R. [3 ,4 ]
Stevkova, Jana [5 ]
Jonasova, Anna [6 ]
Cernan, Martin [7 ,8 ]
Herndlhofer, Susanne [3 ]
Oravcova, Iveta [9 ,10 ]
Sramek, Jiri [11 ]
Novak, Jan [12 ,13 ]
Stepanova, Radka [14 ]
Szotkowski, Tomas [7 ,8 ]
Drgona, Lubos [9 ,10 ]
Zak, Pavel [5 ]
Valent, Peter [3 ,4 ]
机构
[1] Masaryk Univ, Dept Internal Med Hematol & Oncol, Jihlavska 20, Brno 62500, Czech Republic
[2] Univ Hosp Brno, Jihlavska 20, Brno 62500, Czech Republic
[3] Med Univ Vienna, Dept Internal Med 1, Div Hematol & Hemostaseol, Vienna, Austria
[4] Med Univ Vienna, Ludwig Boltzmann Inst Hematol & Oncol, Vienna, Austria
[5] Univ Hosp Hradec Kralove, Dept Internal Med Hematol 4, Hradec Kralove, Czech Republic
[6] Charles Univ Prague, Gen Hosp, Med Dept, Hematol, Prague, Czech Republic
[7] Palacky Univ Olomouc, Fac Med & Dent, Dept Hemato Oncol, Olomouc, Czech Republic
[8] Univ Hosp Olomouc, Olomouc, Czech Republic
[9] Comenius Univ, Dept Oncohematol, Bratislava, Slovakia
[10] Natl Canc Inst, Bratislava, Slovakia
[11] Univ Hosp Plzen, Dept Haematol & Oncol, Plzen, Czech Republic
[12] Charles Univ Prague, Fac Med 3, Dept Haematol, Prague, Czech Republic
[13] Univ Hosp Kralovske Vinohrady, Prague, Czech Republic
[14] Masaryk Univ, Fac Med, Ctr Excellence CREAT, Brno, Czech Republic
关键词
acute myeloid leukaemia; antifungal prophylaxis; fungal infection; venetoclax and azacitidine;
D O I
10.1111/bjh.19670
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Our observational study analysed fungal infection frequency within cohorts with versus without antifungal prophylaxis (AFP) among newly diagnosed first-line venetoclax and azacitidine (VEN + AZA)-treated acute myeloid leukaemias in Czech, Austrian and Slovak haematology centres. Among 186 patients, 85 (46%) received antifungal prophylaxis, while 101 (54%) received no prophylaxis. Fungal infections occurred in 1/85 patients with prophylaxis (1%) and 5/101 patients without prophylaxis (5%) (p = 0.222). No significant difference was recorded between cohorts with and without AFP in terms of death rate (p = 0.296) and overall survival (p = 0.844). In conclusion, most infections were not severe, developing during the first treatment-cycle and did not affect patients' overall outcome.
引用
收藏
页码:1746 / 1750
页数:5
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