Micafungin as primary antifungal prophylaxis in patients presenting with acute myeloid leukemia.

Abstract:

OBJECTIVE:To study the efficacy and safety of micafungin for prophylaxis of invasive fungal infections in patients undergoing induction chemotherapy for acute myeloid leukemia. PATIENTS AND METHODS:A prospective observational single-center study of 41 patients from the hematology department between May 2012 and April 2015. Micafungin was administered once daily from the first day of induction chemotherapy to the end of the neutropenic phase. RESULTS:Neither Candida nor Aspergillus infection was documented in our 41 patients from the first day of micafungin infusion to the end of the neutropenic phase. Patients were followed for three months after discontinuation of micafungin and none of them contracted an invasive fungal infection. Only one patient presented with grade III-IV hepatic and ionic toxicities. CONCLUSION:Micafungin is associated with a good safety profile and is an interesting option for preventing invasive fungal infections in the high-risk population of patients presenting with hematological disorders.

journal_name

Med Mal Infect

authors

Venton G,Adam H,Colle J,Labiad Y,Mercier C,Ivanov V,Suchon P,Fanciullino R,Farnault L,Costello R

doi

10.1016/j.medmal.2016.03.008

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

226-9

issue

4

eissn

0399-077X

issn

1769-6690

pii

S0399-077X(16)30006-3

journal_volume

46

pub_type

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