Abstract

PURPOSE: We compared the risk factors, the diagnostic tools and the outcome of filamentous fungal infections (FFIs) in hematological patients (HAEs) and non-hematological patients (non-HAEs). METHODS: Prospective surveillance (2009-2011) of proven and probable FFIs was implemented in 23 Italian hospitals. RESULTS: Out of 232 FFIs, 113 occurred in HAEs and 119 in non-HAEs. The most frequent infection was invasive aspergillosis (76.1 % for HAEs, 56.3 % for non-HAEs), and the localization was principally pulmonary (83.2 % for HAEs, 74.8 % for non-HAEs). Neutropenia was a risk factor for 89.4 % HAEs; the main underlying condition was corticosteroid treatment (52.9 %) for non-HAEs. The distribution of proven and probable FFIs was different in the two groups: proven FFIs occurred more frequently in non-HAEs, whereas probable FFIs were correlated with the HAEs. The sensitivity of the galactomannan assay was higher for HAEs than for non-HAEs (95.3 vs. 48.1 %). The overall mortality rate was 44.2 % among the HAEs and 35.3 % among the non-HAEs. The etiology influenced the patient outcomes: mucormycosis was associated with a high mortality rate (57.1 % for HAEs, 77.8 % for non-HAEs). CONCLUSIONS: The epidemiological and clinical data for FFIs were not identical in the HAEs and non-HAEs. The differences should be considered to improve the management of FFIs according to the patients' setting.

Autore Pugliese

• Martinelli Domenico

Tutti gli autori

• Montagna M.T. , Lovero G. , Coretti C. , Martinelli D. , Delia M. , De Giglio O. , Caira M. , Puntillo F. , D'Antonio D. , Venditti M. , Sambri V. , Di Bernardo F. , Barbui A. , Lo Cascio G. , Concia E. , Mikulska M. , Viscoli C. , Maximova N. , Candoni A. , Oliveri S. , Lombardi G. , Pitzurra L. , Sanguinetti M. , Masciari R. , Santantonio T. , Andreoni S. , Barchiesi F. , Pecile P. , Farina C. , Viale P. , Specchia G. , Caggiano G. , Pagano L.

Titolo volume/Rivista

INFECTION

Anno di pubblicazione

2014

ISSN

0300-8126

ISBN

Non Disponibile

Numero di citazioni Wos

22

Ultimo Aggiornamento Citazioni

Non Disponibile

Numero di citazioni Scopus

26

Ultimo Aggiornamento Citazioni

Non Disponibile

Settori ERC

Non Disponibile

Codici ASJC

Non Disponibile