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Table 5 Differences between surviving and non-surviving patients

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

 

Survivors

(n=22)

Non-survivors

(n=6)

p

Type of infection

 Mold infection

17 (77.3%)

6 (100%)

0.553

 Yeast infection

5 (22.7%)

0 (0%)

 

Site of disease

 Bronchopulmonary disease

17 (77.3%)

6 (100%)

0.553

 Bloodstream disease

5 (22.7%)

0 (0%)

 

Epidemiological data

 Age (years)

10.1 (6.3-14.9)

6.9 (2.2-16)

0.566

 Sex: male

10 (45.5%)

4 (66.7%)

0.648

Number of host factors

2 (1-3.3)

3 (2.5-4)

0.188

Host factors

 Prolonged neutropenia

7 (38.9%)

2 (40%)

1.000

 Hematologic malignancy

9 (40.9%)

5 (83.3%)

0.165

 Allogeneic HSCT

8 (36.4%)

3 (50%)

0.653

 Prolonged use of corticosteroids

7 (43.8%)

4 (66.7%)

0.635

 Acute GVHD

3 (13.6%)

2 (33.3%)

0.285

 Chronic GVHD

2 (9.1%)

2 (33.3%)

0.191

Risk stratification

 High-risk

15 (68.2%)

5 (83.3%)

0.640

 Low-risk

2 (9.1%)

1 (16.7%)

0.530

 Sporadic

5 (27.7%)

0 (0%)

0.553

Antifungal prophylaxis

15 (68.2%)

5 (83.3%)

0.640

Laboratory parameters

 Haemoglobin (g/dl)

8.9 (8.2-11.2)

8.2 (7.5-10.5)

0.243

 Platelets x103/µL

51 (27.5-114)

40.5 (10.3-66.5)

0.221

 Leukocytes/µL

1200 (250-1200)

1350 (175-5000)

0.748

 Neutrophils/µL; median (IQR)

200 (7-3975)

100 (0-4250)

0.516

 Lymphocytes/µL; median (IQR)

500 (200-1320)

450 (100-950)

0.823

 CRP (mg/dl) at diagnosis

3.9 (0.7-8.6)

10.1 (4.8-33.3)

0.056

 Maximum CRP (mg/dl)

11.5 (2.2-20.1)

13.5 (10.1-34.7)

0.238

 Procalcitonine (ng/ml) at diagnosis

0.1 (0.07-0.7)

0.2 (0.09-4.2)

0.688

 Maximum procalcitonine (ng/ml)

0.7 (0.3-1.8)

0.6 (0.3-4.2)

0.556

 GM in serum (mold infections)

0.25 (0.13-0.6)

0.6 (0.34-4.7)

0.085

 GM in BAL (mold infections)

0.19 (0.13-1.84)

0.2 (0.19-0.2)

0.923

IFD diagnosis

 Proven IFD

5 (22.7%)

1 (16.7%)

1.000

 Probable IFD

6 (27.3%)

2 (33.3%)

1.000

 Possible IFD

11 (50%)

3 (50%)

1.000

Treatment duration (days)

51 (37-72)

11 (6-32)

0.003

Outcome

 PICU admission

4 (18.2%)

4 (66.7%)

0.038

 Mechanical ventilation

0 (0%)

3 (50%)

0.006

 Inotropic support

1 (4.5%)

3 (50%)

0.022

  1. Data presented correspond to n (%) for categorical parameters and median (IQR) for continuous variables. Bold numbers: values that are statistically significant
  2. Abbreviations: CRP C-reactive protein, GM Galactomannan, GVHD Graft-versus-host disease, HSCT Hematopoietic stem cell transplant, IFD Invasive fungal disease, IQR Interquartile range, PICU Pediatric Intensive Care Unit