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Antifungal prophylaxis in neutropenia. | LitMetric

Antifungal prophylaxis in neutropenia.

Curr Opin Infect Dis

Department of Haematology, University Hospital Gasthuisberg, Leuven, Belgium.

Published: December 1999

AI Article Synopsis

  • Despite the use of antifungal agents in neutropenic patients, invasive fungal infections still significantly impact health and survival rates.
  • There is insufficient evidence from solid randomized trials, except for fluconazole use in allogeneic marrow transplant patients, leading to uncertainty about the effectiveness of antifungal prophylaxis.
  • Early diagnosis through noninvasive methods and proactive treatment strategies may be more effective than just relying on preventive medication.

Article Abstract

Despite the widespread prophylactic use of antifungal agents in neutropenic patients, invasive fungal infections continue to emerge as major causes of morbidity and mortality. With the exception of fluconazole prophylaxis in allogeneic marrow transplant recipients, no firm conclusions can be drawn due to the lack of reliable, randomized trials. At the present time, it seems that antifungal chemoprophylaxis is more a matter of faith rather than science. Earlier diagnosis based on noninvasive diagnostic techniques and pre-emptive strategies may offer more promise than a liberal prophylactic approach.

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Source
http://dx.doi.org/10.1097/00001432-199912000-00004DOI Listing

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