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. Author manuscript; available in PMC: 2011 May 27.
Published in final edited form as: Biol Blood Marrow Transplant. 2009 Oct;15(10):1143–1238. doi: 10.1016/j.bbmt.2009.06.019

Patients at standard risk for fungal infections

Indication First Choice Alternatives
Prophylaxis for
a) allogeneic HCT recipients; or b) autologous HCT recipients who have or will have prolonged neutropenia and mucosal damage from intense conditioning regimens, graft manipulation, or who have recently received purine analogues.
Note: Administer prophylaxis from the start of conditioning (or day of transplantation for advanced-generation azoles) until engraftment (ie, approximately 30 days after HCT) or until 7 days after the absolute neutrophil count >1000 cells/ mm3
Fluconazole
Adult/Adolescents:
400 mg orally or i.v. daily (AI)
Pediatrics:
Children 6 months to 13 years: 3–6 mg/kg/day orally or i.v., maximum dose 600 mg per day (AI)
Adults/Adolescents:
Fluconazole, 200 mg orally or i.v. daily (BI)
Itraconazole, oral solution 200 mg orally twice daily (CI);
Micafungin, 50 mg i.v. once daily (BI);
Voriconazole, 4 mg/kg twice daily i.v. or 200 mg twice daily orally (BI);
Posaconazole, 200 mg orally 3 times daily (BI)
Pediatrics: None

HCT indicates hematopoietic cell transplantation.