Table 1.
Characteristics and outcome of lung transplant recipients receiving VRCd
Patient no. | Age (yr)/sex | Type of transplant | Underlying disease | Timing of bronchoscopy posttransplant (days) | VRC dose regimen (mg b.i.d.) | Timing of sampling after last dose (h) | Treatment duration of VRC prior to BAL (mo) | Plasma (μg/ml) | ELF (μg/ml) | ELF/plasma ratioe | Outcome | Comments |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 53/M | Singlea | IPF | 54 | 200 | 13.2 | 1.0 | 1.67 | 42.3 | 25.2 | Successb | |
2 | 57/M | Double | IPF | 197 | 200 | 14.1 | 3.5 | 3.18 | 37.9 | 11.9 | Failure | Persistent Paecilomyces variotiic colonization |
3 | 63/F | Double | COPD | 14 | 200 | 13.0 | 2.3 | 0.15 | 1.56 | 10.4 | Failure | Breakthrough Aspergillus fumigatus colonization |
4 | 49/F | Double | Sarcoidosis | 3,285 | 200 | 11.8 | 12 | 0.57 | 5.75 | 10.0 | Successb | |
5 | 60/F | Double | COPD | 227 | 150 | 14.0 | 7.5 | 3.87 | 59.5 | 15.4 | Failure | Persistent yeast colonization |
6 | 41/F | Double | Bronchiectasis | 2,920 | 200 | 25.8 | 36 | 0.12 | NA | NA | Failure | Persistent Scedosporium prolificans colonization |
7 | 55/F | Singlea | IPF | 120 | 200 | 16.0 | 0.75 | 0.67 | 2.98 | 4.5 | Successb | |
8 | 46/F | Double | IPF | 180 | 150 | 16.0 | 2.5 | 0.09 | NA | NA | Successb | |
9 | 61/F | Double | COPD | 99 | 200 | 13.0 | 0.38 | 3.99 | NA | NA | Successb | |
10 | 38/M | Double | ILD and PAH | 95 | 200 | 13.8 | 1.25 | 0.48 | 2.92 | 6.1 | Successb | |
11 | 58/F | Double | COPD | 60 | 250 | 16.7 | 2.0 | 1.56 | 27.4 | 17.6 | Successb | |
12 | 52/F | Double | Emphysema | 480 | 200 | 12.7 | 0.5 | 0.70 | 7.66 | 11.0 | Successb |
BAL fluid sampling was performed at the transplanted lung.
Successful eradication of airway fungal colonization and no breakthrough infection within 3 months post-BAL.
Voriconazole-resistant strain but sensitive to amphotericin B, posaconazole, and caspofungin.
Abbreviations: M, male; F, female; IPF, idiopathic pulmonary fibrosis; COPD, cronic obstructive pulmonary disease; ILD, interstitial lung disease; PAH, pulmonary arterial hypertension; b.i.d., twice daily; NA, not available.
Mean ± SD, 12.5 ± 6.3.