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Table 2 Clinical and laboratory adverse events of antifungal prophylaxis

From: Caspofungin as antifungal prophylaxis in pediatric patients undergoing allogeneic hematopoietic stem cell transplantation: a retrospective analysis

Variable

L-AmB (n = 60)

CAS (n = 60)

Difference (95% CI)

 
 

No. of patients (%)

Percentage points

p-Value

Drug-related adverse events

    

 Clinical (Total)

5 (8.33)

2 (3.33)

5.0 (−3.4 to 13.4)

0.243

 Fever

1 (1.67)

1 (1.67)

0.0 (−4.6 to 4.6)

1.0

 Nausea

1 (1.67)

0

1.7 (−1.6 to 4.9)

0.315

 Headache

2 (3.33)

1 (1.67)

1.7 (−3.9 to 7.3)

0.559

 Bone pain

1 (1.67)

0

1.7 (−1.6 to 4.9)

0.315

Increase in alanine aminotransferase

    

 ≥ 1.5 × normal value 39 U/L

13 (21.67)

14 (23.33)

−1.7 (−16.6 to 13.3)

0.827

 ≥ 2.5 × normal value 39 U/L

3 (5.0)

8 (13.33)

−8.3 (−18.7 to 2.0)

0.144

Increase in aspartate aminotransferase

    

 ≥ 1.5 × normal value 39 U/L

15 (25.0)

19 (31.67)

−6.7 (−22.7 to 9.4)

0.416

 ≥ 2.5 × normal value 39 U/L

6 (10.0)

2 (3.33)

6.7 (−2.2 to 15.5)

0.140

Increase in alkaline phosphatase

    

 ≥ 1.5 × normal value 320 U/L

0

0

0

1.0

 ≥ 2.5 × normal value 320 U/L

0

0

0

1.0

Increase in total bilirubin

    

 ≥ 1.5 × normal value 1.1 mg/dl

3 (5.0)

0

5.0 (−0.6 to 10.6)

0.079

 ≥ 2.5 × normal value 1.1 mg/dl

0

0

0

1.0

Increase in direct bilirubin

    

 ≥ 1.5 × normal value 0.3 mg/dl

9 (15.0)

5 (8.33)

6.7 (−4.8 to 18.2)

0.255

 ≥ 2.5 × normal value 0.3 mg/dl

3 (5.0)

2 (3.33)

1.7 (−5.5 to 8.8)

0.648

Increase in creatinine

    

 ≥ 1.5 × normal value 0.7 mg/dl

0

0

0

1.0

 ≥ 2.5 × normal value 0.7 mg/dl

0

0

0

1.0

Increase in urea

    

 ≥ 1.5 × normal value 46 mg/dl

3 (5.0)

2 (3.33)

1.7 (−5.5 to 8.8)

0.648

 ≥ 2.5 × normal value 46 mg/dl

0

0

0

1.0

Decrease potassium

    

 ≤ 3.4 mmol/L

46 (76.67)

34 (56.67)

−20.0 (−3.1 to −36.9)

0.02

 ≤ 2.4 mmol/L

2 (3.33)

0

−3.3 (1.2 to −7.9)

0.154

  1. Abbreviation: CAS, caspofungin; L-AmB, liposomal amphotericin B