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Incidence of breakthrough fungal infections on isavuconazole prophylaxis compared to posaconazole and voriconazole

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Invasive fungal infections (IFIs) are a common infectious complication during the treatment of acute myeloid leukemia (AML), high‐risk myelodysplastic syndrome (MDS) or post hematopoietic cell transplantation (HCT). For these patients,… Click to show full abstract

Invasive fungal infections (IFIs) are a common infectious complication during the treatment of acute myeloid leukemia (AML), high‐risk myelodysplastic syndrome (MDS) or post hematopoietic cell transplantation (HCT). For these patients, the National Comprehensive Cancer Network recommends posaconazole or voriconazole for IFI prophylaxis. In clinical practice, however, there has been increased use of isavuconazole due to favorable pharmacokinetic and pharmacodynamic parameters despite limited data for this indication. The comparative prophylactic efficacy of antifungals in this patient population has not been reported, and an analysis is warranted.

Keywords: infections isavuconazole; posaconazole voriconazole; breakthrough fungal; prophylaxis; fungal infections; incidence breakthrough

Journal Title: Transplant Infectious Disease
Year Published: 2023

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