Randomized comparison of oral fluconazole versus oral polyenes for the prevention of fungal infection in patients at risk of neutropenia

1993 ◽  
Vol 31 (6) ◽  
pp. 973-984 ◽  
Author(s):  
J. N. Philpott-Howard ◽  
J. J. Wade ◽  
G. J. Mufti ◽  
K. W. Brammer ◽  
G. Ehniniger
Keyword(s):  
At Risk ◽  
Fungal Infection ◽  
Oral Fluconazole ◽  
Patients At Risk

scholarly journals 1710. Profiling Patients with Rare Mucormycosis Infections Using Real-world Data

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S627-S627
Author(s):  
Anita H Sung ◽  
Emily Rubinstein ◽  
Michael Benigno ◽  
Richard Chambers ◽  
Jalal A Aram
Keyword(s):  
At Risk ◽  
Fungal Infection ◽  
Hematologic Malignancy ◽  
The United States ◽  
Administrative Databases ◽  
Charlson Comorbidity Index Score ◽  
Real World Data ◽  
Patients At Risk ◽  
Comorbidity Index ◽  
Medical Advances

Abstract Background Invasive mucormycosis (IM) is universally fatal if untreated and is a challenge to assess due to its rarity. Diagnosis is difficult and can be missed due to a low index for suspicion. IM prevalence may be increasing with medical advances, especially in neutropenia management, leading to improved survival and expansion of the at-risk patient group. Large administrative databases contain patient-level chart information and may offer a way to describe IM patients in a representative sample of the population. Methods A retrospective observational study was conducted using US data from the deidentified Optum Electronic Health Record database between January 2007 and June 2018. Patients with any fungal infection and IM specifically were defined by ICD9 (110–119, 117.7) or ICD10 (B35-49, B46) codes. Descriptive statistics were used to assess demographics, comorbidities, and antifungal agents (AF) prescribed among IM patients with an underlying diagnosis of hematologic malignancy (HM). Restricting to an at-risk population minimized possible false IM coding in the sample. Results Of the approximately 97 million patients in the database, about 5 million had a fungal infection diagnosis and 5,208 had an IM diagnosis (0.005% overall, 0.11% of fungal infection). Among those with underlying HM (n = 698,187), 641 IM cases were observed (0.09%); of whom, 46% were male, 82% were over 40 years of age, and 77% were in the Midwest region of the United States. They were 83% Caucasian, 7% African American, 2% Asian, and 8% other/unknown race or ethnicity. The mean Charlson Comorbidity Index score was 3 ± 2 and the top comorbidities, aside from malignancy, were diabetes (24%, n = 151), chronic pulmonary disease (22%, n = 141), and renal disease (11%, n = 69). Not all IM patients were treated. There were 376 AF prescriptions, of which 35% were for fluconazole, 28% for posaconazole, and 14% for voriconazole, followed by 7–8% each for isavuconazole and amphotericin formulations. Conclusion A sizable number of IM patients were identified from a large US electronic medical records database. More work is needed to understand the data. Given the significant challenges in prospectively identifying IM patients, a large database may allow for a broader insight into patients at risk and potential predictors of IM. Disclosures All authors: No reported disclosures.

scholarly journals 2050. Plasma Next-Generation Sequencing for Pathogen Detection in Pediatric Patients at Risk for Invasive Fungal Infection

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S598-S598 ◽  
Author(s):  
Amy Armstrong ◽  
Jenna Rossoff ◽  
Romielle Aquino ◽  
Desiree Hollemon ◽  
David Hong ◽  
...  
Keyword(s):  
At Risk ◽  
Next Generation Sequencing ◽  
Fungal Infection ◽  
Invasive Fungal Infection ◽  
Pathogen Detection ◽  
Pediatric Patients ◽  
Next Generation ◽  
Patients At Risk ◽  
Generation Sequencing

Safety and Pharmacokinetics of Oral Voriconazole in Patients at Risk of Fungal Infection: A Dose Escalation Study

2002 ◽  
Vol 42 (4) ◽  
pp. 395-402 ◽  
Author(s):  
Hillard M. Lazarus ◽  
Jeffrey L. Blumer ◽  
Saul Yanovich ◽  
Haran Schlamm ◽  
Alain Romero
Keyword(s):  
At Risk ◽  
Fungal Infection ◽  
Dose Escalation ◽  
Dose Escalation Study ◽  
Patients At Risk

1678: Identifying Patients at Risk for Benign Versus Life Shortening Postoperative Prostate-Specific Antigen Failure

2005 ◽  
Vol 173 (4S) ◽  
pp. 455-455
Author(s):  
Anthony V. D’Amico ◽  
Ming-Hui Chen ◽  
Kimberly A. Roehl ◽  
William J. Catalona
Keyword(s):  
At Risk ◽  
Prostate Specific Antigen ◽  
Specific Antigen ◽  
Patients At Risk

Some Lupus Patients at Risk for Serious Arrhythmia

2006 ◽  
Vol 39 (4) ◽  
pp. 35
Author(s):  
NANCY WALSH
Keyword(s):  
At Risk ◽  
Patients At Risk

Breaking the rule of nondirectiveness: the psychological impact of early identification of breast cancer patients at risk for hereditary breast cancer

2002 ◽  
Author(s):  
K. J. Schlich-Bakker ◽  
F. J. M. Grosfeld ◽  
H. F. J. Kroode ◽  
C. C. Warlam-Rodenhuis ◽  
M. G. E. M. Ausems ◽  
...  
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Cancer Patients ◽  
Early Identification ◽  
Hereditary Breast Cancer ◽  
Psychological Impact ◽  
Breast Cancer Patients ◽  
Patients At Risk

Unreliable websites put patients at risk

Nature ◽  
2004 ◽  
Author(s):  
Helen Pilcher
Keyword(s):  
At Risk ◽  
Patients At Risk
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