-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathhemeonc.bib
456 lines (447 loc) · 24.2 KB
/
hemeonc.bib
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
@article{Wingard:2012:Blood:22692506,
abstract = {Pulmonary nodules and nodular infiltrates occur frequently during treatment of hematologic malignancies and after hematopoietic cell transplantation. In patients not receiving active immunosuppressive therapy, the most likely culprits are primary lung cancer, chronic infectious or inactive granulomata, or even the underlying hematologic disease itself (especially in patients with lymphoma). In patients receiving active therapy or who are otherwise highly immunosuppressed, there is a wider spectrum of etiologies with infection being most likely, especially by bacteria and fungi. Characterization of the pulmonary lesion by high-resolution CT imaging is a crucial first diagnostic step. Other noninvasive tests can often be useful, but invasive testing by bronchoscopic evaluation or acquisition of tissue by one of several biopsy techniques should be performed for those at risk for malignancy or invasive infection unless contraindicated. The choice of the optimal biopsy technique should be individualized, guided by location of the lesion, suspected etiology, skill and experience of the diagnostic team, procedural risk of complications, and patient status. Although presumptive therapy targeting the most likely etiology is justified in patients suspected of serious infection while evaluation proceeds, a structured evaluation to determine the specific etiology is recommended. Interdisciplinary teamwork is highly desirable to optimize diagnosis and therapy.},
added-at = {2012-12-17T23:57:18.000+0100},
author = {Wingard, J R and Hiemenz, J W and Jantz, M A},
biburl = {http://www.bibsonomy.org/bibtex/2c9291dab18c65795261bc7ecec3ea5e3/aorchid},
doi = {10.1182/blood-2012-02-378976},
interhash = {b4c13b782e030afcfb3548c942337966},
intrahash = {c9291dab18c65795261bc7ecec3ea5e3},
journal = {Blood},
keywords = {fungal transplantation},
month = aug,
note = {made notes off of this article for fellows.},
number = 9,
pages = {1791-1800},
pmid = {22692506},
timestamp = {2012-12-17T23:57:18.000+0100},
title = {How I manage pulmonary nodular lesions and nodular infiltrates in patients with hematologic malignancies or undergoing hematopoietic cell transplantation},
url = {http://www.hubmed.org/display.cgi?uids=22692506},
volume = 120,
year = 2012
}
@ARTICLE{Winston2011,
author = {Winston, Drew J. and Bartoni, Kathy and Territo, Mary C. and Schiller,
Gary J.},
title = {Efficacy, safety, and breakthrough infections associated with standard
long-term posaconazole antifungal prophylaxis in allogeneic stem
cell transplantation recipients.},
year = {2011},
language = {eng},
volume = {17},
number = {4},
month = {Apr},
pages = {507--515},
doi = {10.1016/j.bbmt.2010.04.017},
url = {http://dx.doi.org/10.1016/j.bbmt.2010.04.017},
abstract = {Based on favorable results from randomized clinical trials, oral posaconazole
has been approved for prophylaxis in neutropenic patients and stem
cell transplantation (SCT) recipients. However, routine use of a
prophylactic drug may yield different results than those from clinical
trials. We collected data on the efficacy, safety, breakthrough infections,
and antimicrobial resistance associated with standard long-term posaconazole
prophylaxis in adult allogeneic SCT recipients at the UCLA Medical
Center. Oral posaconazole (200 mg 3 times daily) was started on day
1 after SCT and continued until day 100. After day 100, posaconazole
was continued in patients who still required corticosteroids for
prevention or treatment of graft-versus-host disease. From January
2007 through December 2008, 106 consecutive patients received prophylactic
posaconazole. Breakthrough invasive fungal infections on posaconazole
occurred in 8 patients (7.5\%) within 6 months after SCT; 3 additional
patients developed invasive fungal infection after discontinuation
of prophylactic posaconazole. The infective organisms were Candida
(8 cases), Aspergillus (2 cases), and Aspergillus plus Coccidioides
immitis (1 case). There were no Zygomycetes infections. Only 2 (both
Candida glabrata) of 9 infecting isolates tested were resistant to
posaconazole (minimal inhibitory concentration >1 μg/mL). Mortality
from invasive fungal infection occurred in 4 patients (3.7\%). Except
for nausea in 9 patients, no clinical adverse event or laboratory
abnormality could be attributed to posaconazole. Mean peak and trough
plasma posaconazole concentrations were relatively low (<400 ng/mL)
in neutropenic patients with oral mucositis and other factors possibly
affecting optimal absorption of posaconazole. These results demonstrate
that standard long-term oral posaconazole prophylaxis after allogeneic
SCT is safe and associated with few invasive mold infections. However,
breakthrough infections caused by posaconazole-susceptible organisms
(frequently Candida) may occur at currently recommended prophylactic
doses. Thus, strategies to improve posaconazole exposure, including
the use of higher doses, administration with an acidic beverage,
and restriction of proton pump inhibitors, need to be considered
when using prophylactic posaconazole.},
comment = {have paper reprint. See page 61 notebook 00002 for details.},
groups = {public},
institution = {Division of Hematology-Oncology, Department of Medicine, UCLA Medical
Center, University of California-Los Angeles, CA 90095, USA. [email protected]},
intrahash = {60d1bf30aaf4394d4c5a325ec75d6e7c},
journal = {Biol Blood Marrow Transplant},
keywords = {fungal, prophylaxis, transplantation},
medline-pst = {ppublish},
owner = {aorchid},
pii = {S1083-8791(10)00198-9},
pmid = {20460163},
timestamp = {2012.07.10},
username = {aorchid}
}
@ARTICLE{Fischer2009,
author = {Fischer, S. A. and Avery, R. K. and , A. S. T Infectious Disease
Community of Practice},
title = {Screening of donor and recipient prior to solid organ transplantation.},
year = {2009},
language = {eng},
volume = {9 Suppl 4},
month = {Dec},
pages = {S7--18},
doi = {10.1111/j.1600-6143.2009.02888.x},
url = {http://dx.doi.org/10.1111/j.1600-6143.2009.02888.x},
comment = {not yet reviewed},
file = {:ID_General/TransplantClinical/AmJTransplant.9s4.s7.pdf:PDF},
institution = {Department of Medicine and Transplant Services, Rhode Island Hospital,
The Warren Alpert Medical School of Brown University, Providence,
RI, USA. [email protected]},
journal = {Am J Transplant},
keywords = {transplantation, prevention, donor},
medline-pst = {ppublish},
owner = {aorchid},
pmid = {20070698},
timestamp = {2012.12.19}
}
@ARTICLE{Luong2010a,
author = {Luong, Me-Linh and Morrissey, Orla and Husain, Shahid},
title = {Assessment of infection risks prior to lung transplantation.},
year = {2010},
language = {eng},
volume = {23},
number = {6},
month = {Dec},
pages = {578--583},
doi = {10.1097/QCO.0b013e32833f9f93},
url = {http://dx.doi.org/10.1097/QCO.0b013e32833f9f93},
abstract = {Infections are major causes of morbidity and mortality after lung
transplantation. Pretransplant evaluation can identify patients at
risk of infectious complications and guide prophylactic strategies
post transplantation. This review focuses on studies published from
2006 to the present that relate to the assessment of risk of infection
prior to lung transplantation.Pretransplant airways colonization
with Pseudomonas, Burkholderia, nontuberculosis mycobacteria, Aspergillus
and Scedosporium tend to recur after transplantation and cause disease
in the lung allograft. Recently, colonization with Pseudomonas and
Aspergillus species has been implicated in the subsequent development
of allograft dysfunction. B. cenocepacia and Mycobacterium abscessus
are particularly associated with poor outcomes after lung transplantation
and are considered to be relative contra-indications to lung transplantation
in many centers. Tuberculin skin test (TST) has limited value in
predicting tuberculosis (TB) reactivation; however, in the absence
of a better test, it remains the gold standard for screening patients
with latent TB. Serologic screening for histoplasmosis and toxoplasmosis
has limited value as these infections rarely occur after lung transplantation.Recurrence
of pretransplant airway infection and reactivation of latent infection
are potential sources of infection after lung transplantation. Prospective
studies are needed to determine the efficacy of prophylactic antimicrobial
strategies.},
comment = {paper copy. See page 78 of notebook 00002},
groups = {public},
institution = {Multiorgan Transplant Infectious Diseases Division, Department of
Medicine, University of Toronto, Toronto, Ontario, Canada.},
intrahash = {821abb415cea79342114147c0996f716},
journal = {Curr Opin Infect Dis},
keywords = {transplantation, prevention, pseudomonas},
medline-pst = {ppublish},
owner = {aorchid},
pmid = {20847696},
timestamp = {2012.12.19},
username = {aorchid}
}
@ARTICLE{Alexander2008a,
author = {Alexander, B. D. and Petzold, E. W. and Reller, L. B. and Palmer,
S. M. and Davis, R. D. and Woods, C. W. and Lipuma, J. J.},
title = {Survival after lung transplantation of cystic fibrosis patients infected
with Burkholderia cepacia complex.},
year = {2008},
language = {eng},
volume = {8},
number = {5},
month = {May},
pages = {1025--1030},
doi = {10.1111/j.1600-6143.2008.02186.x},
url = {http://dx.doi.org/10.1111/j.1600-6143.2008.02186.x},
abstract = {Within the Burkholderia cepacia complex (Bcc), B. cenocepacia portends
increased mortality compared with other species. We investigated
the impact of Bcc infection on mortality and re-infection following
lung transplant (LT). Species designation for isolates from Bcc-infected
patients was determined using 16S rDNA and recA gene analyses. Of
75 cystic fibrosis patients undergoing LT from September 1992 to
August 2002, 59 had no Bcc and 16 had Bcc (including 7 B. cenocepacia)
isolated in the year before LT. Of the latter, 87.5\% had Bcc recovered
after transplantation, and all retained their pretransplant strains.
Survival was 97\%, 92\%, 76\% and 63\% for noninfected patients;
89\%, 89\%, 67\% and 56\% for patients infected with Bcc species
other than B. cenocepacia; and 71\%, 29\%, 29\% and 29\% for patients
with B. cenocepacia (p = 0.014) at 1 month, 1 year, 3 years and 5
years, respectively. Patients infected with B. cenocepacia before
transplant were six times more likely to die within 1 year of transplant
than those infected with other Bcc species (p = 0.04) and eight times
than noninfected patients (p < 0.00005). Following LT, infection
with Bcc species other than B. cenocepacia does not significantly
impact 5-year survival whereas infection with B. cenocepacia pretransplant
is associated with decreased survival.},
comment = {not reviewed yet.},
groups = {public},
institution = {Division of Infectious Diseases and International Health, Department
of Medicine, Duke University School of Medicine, Durham, NC, USA.
intrahash = {42c8de5f387baa4b72a6f12d6614faad},
journal = {Am J Transplant},
keywords = {transplantation, pneumonia, pseudomonas},
medline-pst = {ppublish},
owner = {aorchid},
pii = {AJT2186},
pmid = {18318775},
timestamp = {2012.12.19},
username = {aorchid}
}
@ARTICLE{Boussaud2008,
author = {Boussaud, V. and Guillemain, R. and Grenet, D. and Coley, N. and
Souilamas, R. and Bonnette, P. and Stern, M.},
title = {Clinical outcome following lung transplantation in patients with
cystic fibrosis colonised with Burkholderia cepacia complex: results
from two French centres.},
year = {2008},
language = {eng},
volume = {63},
number = {8},
month = {Aug},
pages = {732--737},
doi = {10.1136/thx.2007.089458},
url = {http://dx.doi.org/10.1136/thx.2007.089458},
abstract = {Infection with Burkholderia cepacia complex (BCC) is a life threatening
complication of cystic fibrosis (CF), often seen as a contraindication
for lung transplantation.A long term retrospective study was conducted
of all patients with CF undergoing lung transplants from January
1990 to October 2006 in two French centres allowing transplantation
in patients colonised with BCC.22 of the 247 lung transplant patients
with CF were infected with BCC (B. cenocepacia genomovar III (n =
8), B. multivorans genomovar II (n = 11), B. vietnamiensis genomovar
V (n = 2) and B. stabilis genomovar IV (n = 1)). BCC colonisation
was not associated with any significant excess mortality (HR 1.5,
95\% CI 0.7 to 3.2; p = 0.58). However, early mortality rates tended
to be higher in the BCC group than in the non-BCC group (3 month
survival: 85\% vs 95\%, respectively; log rank p = 0.05). Univariate
analysis showed that the risk of death was significantly higher for
the eight patients infected with B. cenocepacia than for the other
14 colonised patients (HR 3.2, 95\% CI 1.1 to 5.9; p = 0.04). None
of the other risk factors tested-primary graft failure, late extubation,
septicaemia-had a significant effect. The 5 year cumulative incidence
rate of bronchiolitis obliterans syndrome was not significantly higher
in the BCC group than in the non-BCC group (38\% vs 24\%, respectively;
p = 0.35).Our results suggest that BCC infection with a non-genomovar
III organism may not be associated with excess mortality after lung
transplantation in patients with CF and should not be seen as sufficient
reason to exclude lung transplantation. However, colonisation with
B. cenocepacia remains potentially detrimental.},
comment = {not reviewed yet.},
groups = {public},
institution = {Pôle cardio-thoracique, AP-HP, HEGP, Paris, France. [email protected]},
intrahash = {9cc27bd995bcb7650a2f5b9bc99f9eca},
journal = {Thorax},
keywords = {transmission, pneumonia, pseudomonas},
medline-pst = {ppublish},
owner = {aorchid},
pii = {thx.2007.089458},
pmid = {18408050},
timestamp = {2012.12.19},
username = {aorchid}
}
@ARTICLE{RefWorks:2938,
author = {J. Gottlieb and F. Mattner and H. Weissbrodt and M. Dierich and T.
Fuehner and M. Strueber and A. Simon and T. Welte},
title = {Impact of graft colonization with gram-negative bacteria after lung
transplantation on the development of bronchiolitis obliterans syndrome
in recipients with cystic fibrosis},
year = {2009},
language = {eng},
volume = {103},
number = {5},
month = {May},
pages = {743-749},
note = {JID: 8908438; 2008/06/02 [received]; 2008/08/21 [revised]; 2008/11/18
[accepted]; 2008/12/30 [aheadofprint]; ppublish},
doi = {10.1016/j.rmed.2008.11.015},
url = {http://dx.doi.org/10.1016/j.rmed.2008.11.015},
abstract = {Bronchiolitis obliterans syndrome (BOS) represents the leading cause
of late mortality after lung transplantation (LTx). Cystic fibrosis
(CF) patients frequently show airway colonization with gram-negative
bacteria (GNB) both before and after LTx. Graft colonization with
GNB and its relevance towards BOS development were investigated in
a CF population after LTx. Adult CF patients receiving LTx and surviving
at least 6 months were included in this prospective observational
study between 1/1/2002 and 30/6/2006 in a single center and followed
until 31/3/2007. Pre- and post-LTx respiratory culture samples were
compared for the presence of identical GNB. BOS-free survival was
compared in colonized and non-colonized patients. Fifty-nine adult
CF patients with a median age at LTx of 25.5 (18-49) years were included
and had a median follow-up of 966 (128-1889) days. Seven patients
(15%) demonstrated immediate eradication of GNB in lower respiratory
tract samples. A further 18 patients (34%) demonstrated transient
colonization. Thirty-four recipients had further positive samples
after LTx. Eighteen patients (31%) developed BOS >or=stage 1, 508
(114-1167) days after LTx. Freedom of graft colonization with pseudomonads
was independently associated with less frequent development of BOS
(p=0.006). Persistent graft colonization with pseudomonads increases
the prevalence of BOS after LTx in CF patients. A significant proportion
of post-LTx CF patients demonstrates subsequent GNB eradication during
later follow-up and this may have a protective role against development
of BOS. Strategies to eradicate airway colonization or reduce bacterial
load may prevent BOS in CF patients after LTx.},
comment = {see page 27 of notebook 00002. Good one. Pseudomonas (and some other
GNR) persistent colonization predict BOS, as does AR.},
groups = {public},
intrahash = {d54b13193a0ece67862080f0537e67a8},
isbn = {1532-3064; 0954-6111},
journal = {Resp Med},
keywords = {pseudomonas, bos, transplantation, rejection},
owner = {aorchid},
timestamp = {2012.02.09},
username = {aorchid}
}
@ARTICLE{RefWorks:2926,
author = {D. Hadjiliadis and M. P. Steele and C. Chaparro and L. G. Singer
and T. K. Waddell and M. A. Hutcheon and R. D. Davis and D. E. Tullis
and S. M. Palmer and S. Keshavjee},
title = {Survival of lung transplant patients with cystic fibrosis harboring
panresistant bacteria other than Burkholderia cepacia, compared with
patients harboring sensitive bacteria},
year = {2007},
language = {eng},
volume = {26},
number = {8},
month = {Aug},
pages = {834-838},
note = {JID: 9102703; 0 (Anti-Bacterial Agents); 2006/12/19 [received]; 2007/04/02
[revised]; 2007/05/28 [accepted]; 2007/07/12 [aheadofprint]; ppublish},
abstract = {BACKGROUND: The impact of panresistant bacteria, other than Burkholderia
cepacia, on the survival after lung transplantation in patients with
cystic fibrosis (CF) remains controversial. METHODS: To determine
the impact of panresistant bacteria in CF patients on survival after
lung transplantation a retrospective multicenter study was performed.
All lung transplant recipients with a pre-transplant diagnosis of
CF, at the University of Toronto (n = 53) and Duke University (n
= 50), were included. Patients were included in the panresistant
group if at least one specimen isolated from their respiratory secretions
grew bacteria resistant or intermediate to all classes of antibiotics
tested. Patients with sensitive or resistant B cepacia were excluded
because of its adverse impact upon post-transplant survival. RESULTS:
Forty-five of 103 (43.7%) patients harbored panresistant bacteria
(43 had Pseudomonas aeruginosa, 1 had Stenotrophomonas maltophilia,
and 1 had Achromobacter xylosoxidans). According to log-rank test,
there was decreased survival in patients with panresistant bacteria
compared to patients with sensitive bacteria (survival: 91.1 +/-
4.2% vs 98.3 +/- 1.7% at 3 months; 88.6 +/- 4.8% vs 96.6 +/- 2.4%
at 1 year; 63.2 +/- 8.6% vs 90.7 +/- 4.0% at 3 years; 58.3 +/- 9.2%
vs 85.6 +/- 5.2% at 5 years; p = 0.016). The results did not differ
significantly between the two centers. Both groups had similar or
better survival than CF patients as reported by the United Network
of Organ Sharing (UNOS) registry (1-year, 86.0%; 3 years, 65.4%;
5 years, 49.6%). CONCLUSIONS: Patients with CF harboring panresistant
bacteria have slightly decreased survival, but their survival is
comparable to the results published by the UNOS registry.},
comment = {see page 26 of notebook 00002. For CF lung transplant at Toronto and
Duke transplanted 1992-2001.},
groups = {public},
intrahash = {5a0d6b493f82de491e33fdbe6ff9ad9d},
isbn = {1557-3117; 1053-2498},
journal = {J Heart Lung Transpl},
keywords = {transplantation, pseudomonas, drugresistance, prevention},
owner = {aorchid},
timestamp = {2012.02.09},
username = {aorchid}
}
@ARTICLE{Steinbach2012,
author = {Steinbach, W J and Marr, K A and Anaissie, E J and Azie, N and Quan,
S P and Meier-Kriesche, H U and Apewokin, S and Horn, D L},
title = {Clinical epidemiology of 960 patients with invasive aspergillosis
from the PATH Alliance registry},
year = {2012},
volume = {65},
number = {5},
month = {Nov},
pages = {453-464},
doi = {10.1016/j.jinf.2012.08.003},
url = {http://www.hubmed.org/display.cgi?uids=22898389},
abstract = {The study investigated the epidemiology and outcome of invasive aspergillosis
(IA), an important cause of morbidity and mortality in immunocompromised
patients.Cases of proven/probable IA from the Prospective Antifungal
Therapy Alliance (PATH Alliance(�)) registry - a prospective surveillance
network comprising 25 centers in the United States and Canada that
collected data on invasive fungal infections from 2004 to 2008 -
were analyzed with respect to clinical outcome.Nine hundred and sixty
patients with IA were enrolled, the most frequent underlying disease
being hematologic malignancy (n=464 [48.3%]). Two hundred and eighty
patients (29.2%) received solid organ transplant; 268 patients (27.9%)
underwent hematopoietic stem cell transplantation. Identified isolates
included Aspergillus fumigatus (72.6%), Aspergillus flavus (9.9%),
Aspergillus niger (8.7%) and Aspergillus terreus (4.3%). The lung
was most frequently affected. Following diagnosis, 47% patients received
monotherapy - voriconazole (70%), an amphotericin B formulation (13.8%),
or an echinocandin (10.5%) - while 279 patients (29%) received combination
therapy. Twelve-week overall survival was 64.4%.In this series of
patients with IA, the lung was the predominant focus of infection,
A. fumigatus was the major species isolated, and overall survival
appeared slightly improved compared with previous reports.},
file = {:ID_General/TransplantClinical/JInfect.65.453.pdf:PDF},
journal = {J Infect},
keywords = {fungal, drug, transplantation},
owner = {aorchid},
pmid = {22898389},
timestamp = {2013.03.22}
}
@ARTICLE{Singh2013,
author = {Singh, Nina and Suarez, Jose F. and Avery, Robin and Lass-Flörl,
Cornelia and Geltner, Christian and Pasqualotto, Alessandro C. and
{Marshall Lyon}, G. and Barron, Michelle and Husain, Shahid and Wagener,
Marilyn M. and Montoya, Jose G.},
title = {Risk factors and outcomes in lung transplant recipients with nodular
invasive pulmonary aspergillosis.},
year = {2013},
language = {eng},
volume = {67},
number = {1},
month = {Jul},
pages = {72--78},
doi = {10.1016/j.jinf.2013.03.013},
url = {http://dx.doi.org/10.1016/j.jinf.2013.03.013},
abstract = {Whether nodular lesions have specific risk-factors or influence outcomes
in lung transplant recipients with invasive aspergillosis, is not
fully known.The study population consisted of 64 consecutive lung
transplant recipients with proven or probable invasive aspergillosis.
Nodules, with or without halo/air crescent-sign were considered nodular
presentations. Outcomes assessed were response rate (successful versus
unsuccessful outcome) and all-cause mortality at 12 weeks.Overall,
34 patients had nodular and 30 had non-nodular lesions. Presence
of nodular lesions was less likely to be associated with renal failure
at baseline (adjusted OR 0.21, 95\% CI, 0.04-0.97, p = 0.047), CMV
infection (adjusted OR 0.18, 95\% CI 0.04-0.75, p = 0.019) and receipt
of antifungal prophylaxis (adjusted OR 0.22, 95\% CI, 0.06-0.88,
p = 0.032). Successful outcome and mortality rates in the study patients
were 64.0\% (41/64) and 25.0\% (16/64), respectively. Nodular aspergillosis
was associated with significantly higher successful outcome (adjusted
OR 3.35, 95\% CI, 1.06-10.54, p = 0.039) and lower mortality at 12
weeks (adjusted OR 0.20, 0.05-0.78, p = 0.021).Lung transplant recipients
with nodular lesions due to invasive aspergillosis had better outcomes
than those without such lesions.},
comment = {nodular disease had better outcome. Non-nodular disease associated
with renal failure, CMV infection and prior vori prophylaxis. Successful
outcome in 64% and 75% survival overall. But 12 week all-cause mortality
23% in nodular, 54% non-nodular. Median time to invasive disease
was 423 days post-transplant. 53% had nodular disease.},
file = {:ID_General/TransplantClinical/JInfect.67.72.pdf:PDF},
institution = {University of Pittsburgh, Pittsburgh, PA 15240, USA. [email protected]},
journal = {J Infect},
keywords = {Antifungal Agents, therapeutic use; Female; Humans; Invasive Pulmonary
Aspergillosis, drug therapy/mortality/pathology; Lung Transplantation;
Lung, pathology; Male; Middle Aged; Risk Factors; Survival Analysis;
Transplantation; Treatment Outcome},
medline-pst = {ppublish},
owner = {aorchid},
pii = {S0163-4453(13)00069-8},
pmid = {23567625},
timestamp = {2014.03.25}
}