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 |
Abbreviations: MDS, myelodysplastic syndrome; ANC, absolute neutrophil count; TPN, total parenteral nutrition; L-Amb, liposomal amphotericin B; 5FC, flucytosine.
Includes fluconazole, posaconazole, and voriconazole.
Includes anidulafungin, caspofungin, and micafungin.
Values in bold indicate statistical significance.