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Table 1 Comparing patients under diagnostic-driven therapy with voriconazole and those under empiric antifungal therapy without voriconazole

From: Treating invasive aspergillosis in patients with hematologic malignancy: diagnostic-driven approach versus empiric therapies

Characteristics and outcomes

Diagnostic-driven therapy with voriconazole

Empiric antifungal therapy without voriconazole

p-value

(n = 44)

(n = 221)

N (%)

N (%)

Age (years), median (range)

63 (23–81)

51 (14–80)

< 0.001

Gender, male

26 (59)

131 (59)

0.98

Diagnosis of IA

  

< .001

 Definite IA

4/43 (9)

83 (38)

 

 Probable IA

39/43 (91)

138 (62)

 

Invasive pulmonary infectiona

40 (91)

178 (81)

0.10

Disseminated infectiona

2 (5)

18 (8)

0.41

Localized or sinus infectiona

4 (9)

28 (13)

0.51

Leukemia

19 (43)

181/220 (82)

< .0001

Lymphoma

16 (36)

34/220 (15)

0.001

Myeloma

8 (18)

5/220 (2)

< .001

Transplantation within 1 year prior to infection

16 (36)

82/220 (37)

0.91

Type of transplantation within prior year

  

0.010

 Allogeneic transplant

10/16 (63)

74/82 (90)

 

 Autologous transplant

6/16 (38)

8/82 (10)

 

Graft vs Host Disease (GVHD)

8/10 (80)

52/74 (70)

0.72

Neutropenia (< 500 ANC) at onset of IA

8/42 (19)

120/216 (56)

< .0001

Persistent neutropenia

14/36 (39)

87/210 (41)

0.77

Received immunotherapy

10/43 (23)

154/220 (70)

< .0001

Received WBC transfusion

2/42 (5)

45 (20)

0.016

Year of IA diagnosis/treatment

  

< .0001

 1993–2004

8 (18)

162 (73)

 

 2005–2016

36 (82)

59 (27)

 

Prophylactic antifungal treatment prior to

7 (16)

78 (35)

0.012

infection

   

Breakthrough

6/7 (86)

67/78 (86)

> .99

Response to therapy

32 (73)

30 (14)

< .0001

Death within 42 days of starting therapy

2 (5)

123/220 (56)

< .0001

Aspergillosis-attributable death within 42 days of starting therapy

2 (5)

107/218 (49)

< .0001

  1. aOne patient had all 3 types of IA infections and 3 patients had both invasive pulmonary and localized or sinus infections