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Table 2 Characteristics of breakthrough IFD episodes (n=20)

From: Changes in the epidemiology of invasive fungal disease in a Pediatric Hematology and Oncology Unit: the relevance of breakthrough infections

Epidemiological characteristics

Male sex

10 (50%)

Age (years)

9.5 (6.5-15)

Underlying conditions

 ALL

6 (30%)

 AML

6 (30%)

 SOT

1 (5%)

 Non-malignant blood disorders

7 (35%)

HSCT

11 (55%)

 Allogeneic

10/11

 Autologous

1/11

Risk stratification

 High-risk

19 (95%)

 Low-risk

1 (5%)

 Sporadic

0

Type of AFP

 Micafungin (intravenous formulation)

13 (65%)

 Fluconazole (oral formulation)

4 (20%)

 Posaconazole (oral formulation)

2 (10%)

 Itraconazole (oral formulation)

1 (5%)

IFD diagnosis

 Proven IFD

0

 Probable IFD

8 (40%)

 Possible IFD

12 (60%)

Type of infection

 Mold infection

20 (100%)

 Yeast infection

0

Site of disease

 Bronchopulmonary

20 (100%)

 Rhino-sinusitis

2 (10%)

Outcome

 PICU admission

6 (30%)

 Mechanical ventilation

3 (15%)

 Inotropic support

2 (10%)

Exitus

5 (25%)

  1. Data presented correspond to n (%) for categorical parameters and median (IQR) for continuous variables
  2. AFP Antifungal prophylaxis, ALL Acute lymphoblastic leukemia, AML Acute myeloid leukemia, HSCT Hematopoietic stem cell transplant, IFD Invasive fungal disease, IQR Interquartile range, PICU Pediatric Intensive Care Unit, SOT Solid organ tumor