Breakthrough invasive fungal diseases in acute myeloid leukemia patients receiving mould active triazole primary prophylaxis after intensive chemotherapy: An Italian consensus agreement on definitions and management

被引:19
作者
Girmenia, Corrado [1 ]
Busca, Alessandro [2 ]
Candoni, Anna [3 ]
Cesaro, Simone [4 ]
Luppi, Mario [5 ]
Nosari, Anna Maria [6 ,7 ]
Pagano, Livio [8 ]
Rossi, Giuseppe [9 ,10 ]
Venditti, Adriano [11 ]
Aversa, Franco [12 ]
机构
[1] Azienda Policlin Umberto I, Dipartimento Ematol Oncol & Dermatol, Via Benevento, I-00161 Rome, Italy
[2] AOU Citta Salute & Sci, Dipartimento Oncol, SSD Trapianto Allogen Cellule Staminali, Turin, Italy
[3] Azienda Osped Univ Udine, Ctr Trapianti & Terapie Cellulari, Clin Ematol, Udine, Italy
[4] Azienda Osped Univ Integrata, Oncoematol Pediat, Verona, Italy
[5] UNIMORE, AOU Modena, Cattedra & UO Ematol, Dipartimento Sci Med & Chirurg Materno Infantile, Modena, Italy
[6] ASST Grande Osped Metropolitano Niguarda, Div Ematol, Milan, Italy
[7] ASST Grande Osped Metropolitano Niguarda, Ctr Trapianti Midollo, Milan, Italy
[8] Univ Cattolica Sacro Cuore, IRCCS, Fdn Policlin A Gemelli, Div Ematol, Rome, Italy
[9] Spedali Civil Brescia, SC Ematol, Brescia, Italy
[10] Spedali Civil Brescia, Dipartimento Oncol Med, Brescia, Italy
[11] Fdn Policlin Tor Vergata, Ematol, Rome, Italy
[12] Univ Parma, Haematol & BMT Unit, Parma, Italy
关键词
breakthrough fungal infections; antifungal prophylaxis; acute myeloid leukemia; triazoles; PRIMARY ANTIFUNGAL PROPHYLAXIS; ACUTE MYELOGENOUS LEUKEMIA; POSACONAZOLE PROPHYLAXIS; T-CELLS; CLINICAL EFFECTIVENESS; NEUTROPENIC PATIENTS; HEMATOLOGY PATIENTS; MYELODYSPLASTIC SYNDROMES; CYTOTOXIC CHEMOTHERAPY; INDUCTION CHEMOTHERAPY;
D O I
10.1093/mmy/myy091
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In the attempt to establish definitions and provide shared approaches to breakthrough invasive fungal diseases (br-IFD) in acute myeloid leukemia (AML) patients submitted to intensive chemotherapy and receiving triazoles as mould active primary antifungal prophylaxis (MA-PAP), literature on br-IFD in AML patients receiving triazoles MA-PAP was reviewed and a Consensus Development Conference Project was convened. The following four candidate key-questions were generated and formed the set of questions of the present document: "definition of br-IFD," "diagnostic strategy during MA-PAP to detect br-IFD," "possible causes of MA-PAP failure," "management of br-IFD."
引用
收藏
页码:S127 / S137
页数:11
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