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. 2014 Jun;52(6):1830–1837. doi: 10.1128/JCM.00131-14

TABLE 4.

Risk factors for colonization with Candida kefyr in patients with acute myelogenous leukemia (AML) undergoing induction chemotherapy with one of two intensive, multiagent induction regimens given in a timed-sequential manner: (i) AcDVP16 (cytarabine, daunorubicin, and etoposide) and (ii) FLAM (flavopiridol, cytarabine, and mitoxantrone)

Characteristica No. (%)
Value by analysisd:
Univariate
Multivariate
Cases, n = 22 Controls, n = 205 OR 95% CI P OR 95% CI P
Age of >50 yr 13 (59) 124 (60) 0.9 0.4–2.3 0.9
Gender, male 11 (50) 116 (57) 0.8 0.3–1.8 0.56
Ethnicity, Caucasian vs other 18 (82) 166 (81) 1.1 0.3–3.3 0.92
Yr of ≥2009 7 (32) 50 (24) 1.5 0.6–3.7 0.45
Summer (July to September) 12 (55) 45 (22) 4.3 1.7–10.5 0.002 3.1 1.1–8.6 0.03
Regimen, AcDVP16 vs FLAM 15 (68) 148 (72) 0.8 0.3–2.1 0.7
Leukemia from MDS 6 (27) 68 (33) 0.8 0.3–2.0 0.58
ANC of <500, >21 days 17 (77) 155 (76) 1.1 0.4–3.1 0.86
ANC of <500 on presentation 6 (27) 62 (30) 0.9 0.3–2.3 0.77
Mucositis of ≥2nd grade 11 (50) 101 (49) 1.0 0.4–2.5 0.95
Receipt of TPN 3 (14) 47 (23) 0.5 0.1–1.9 0.32
Colonized with >1 Candida species 19 (86) 115 (56) 4.9 1.4–17.3 0.01 6.0 1.6–22.5 0.007
Receipt of L-Amb 11 (50) 148 (72) 0.4 0.2–0.9 0.04 0.35 0.01–0.99 0.05
Receipt of azoleb 2 (9) 144 (70) 0.06 0.01–0.3 <0.0001 0.06 0.01–0.3 <0.001
Receipt of echinocandinc 11 (50) 75 (37) 1.7 0.7–4.2 0.22
Receipt of 5FC 1 (5) 36 (18) 0.2 0.03–1.7 0.15
a

Abbreviations: MDS, myelodysplastic syndrome; ANC, absolute neutrophil count; TPN, total parenteral nutrition; L-Amb, liposomal amphotericin B; 5FC, flucytosine.

b

Includes fluconazole, posaconazole, and voriconazole.

c

Includes anidulafungin, caspofungin, and micafungin.

d

Values in bold indicate statistical significance.