TABLE 2.
Characteristics of patients
Parameter | Value(s) |
---|---|
Patients | |
Total, n | 173 |
Age in yr, median (range) | 54.5 (25–65) |
Female, n (%) | 72 (41.6) |
Male, n (%) | 101 (58.4) |
Pharyngeal swabs (no.) | 945 |
Underlying disease, n (%) | |
Acute myeloid leukemia | 51 (29.5) |
Acute lymphoid leukemia | 9 (5.2) |
Lymphoma | 58 (33.5) |
Myeloma | 44 (25.5) |
Chronic lymphatic leukemia | 3 (1.7) |
Myelofibrosis | 2 (1.1) |
Chronic myeloid leukemia | 1 (0.6) |
Aplastic anemia | 1 (0.6) |
Others | 4 (2.3) |
Disease status, n (%) | |
At diagnosis | 59 (34.1) |
Complete remission | 63 (36.4) |
Partial remission | 19 (11) |
Refractory/relapse | 14 (8.1) |
Progression | 18 (10.4) |
Treatment, n (%) | |
No. of cycles | 424 |
Myeloablative chemotherapy | 201 (47.4) |
Reduced intensity chemotherapy | 67 (15.8) |
Others (i.e., monoclonal antibodies, protease inhibitors, and immunomodulatory drugs) | 156 (36.8) |
Cycles of steroid therapy | |
No. of cycles | 295 (69.6) |
Duration, >7 days | 94 (31.9) |
Neutropenia (therapy related), n (%) | |
Severe (<500 neutrophils/μl) | 213 (50.2) |
Duration, >10 days | 135 (63.4) |
Antibiotics, no. (%) | |
Total administered | 458 |
Prophylaxisa | 105 (22.9) |
Therapy | 353 (77.1) |
Broad-spectrum antibiotics (i.e., piperacillin-tazobactam or ceftazidime ± aminoglycoside or tigecycline; carbapenem ± aminoglycoside or tigecycline) | 258 (73) |
Narrow-spectrum antibiotics (i.e., fluorochinolones or oral penicillin but not antimicrobial combinations) | 95 (27) |
Antifungals, no. (%) | |
Total administered | 159 |
Prophylaxis (fluconazole [n = 42], micafungin [n = 17], l-AmB [n = 14], itraconazole [n = 17], voriconazole [n = 3], posaconazole [n = 11], anidulafungin [n = 1]) | 105 (66) |
Therapy (voriconazole [n = 9], l-AmB [n = 18], caspofungin [n = 10], anidulafungin [n = 3], micafungin [n = 1], posaconazole [n = 1], itraconazole [n = 2], fluconazole [n = 6], isavuconazole [n = 4]) | 54 (34) |
Seventy-three of 105 (69.5) are PCP prophylaxis, and 32 of 105 (30.5) are antibacterial prophylaxis.