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. 2015 Jan;37(1):e19-22.
doi: 10.1097/MPH.0000000000000175.

Secondary antifungal prophylaxis in pediatric hematopoietic stem cell transplants

Affiliations

Secondary antifungal prophylaxis in pediatric hematopoietic stem cell transplants

Fatih M Azik et al. J Pediatr Hematol Oncol. 2015 Jan.

Abstract

Invasive fungal infections (IFIs) constitute a leading cause of morbidity and infection-related mortality among hematopoietic stem cell transplant (HSCT) recipients. With the use of secondary prophylaxis, a history of IFI is not an absolute contraindication to allo-HSCT. However, still, IFI recurrence remains a risk factor for transplant-related mortality. In this study, of the 105 children undergoing HSCT between April 2010 and February 2013, 10 patients who had IFI history before transplantation and had undergone allo-HSCT were evaluated retrospectively to investigate results of secondary prophylaxis. In conclusion, our study shows that amphotericin B and caspofungin was successful as secondary antifungal prophylaxis agents with no relapse of IFI. In addition, after engraftment, secondary prophylaxis was continued with voriconazole orally in 4 patients that yielded good results.

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