Infections are a leading cause of mortality in patients who are immunosuppressed following a transplant. Antifungal prophylaxis may be indicated but be aware that this can affect the performance of some biomarker tests and may carry a high risk of serious drug interactions.
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Solid organ transplants
Surveillance of 1063 patients from 15 TRANSNET centres across the US (Pappas et al, 2010) showed that overall incidence of invasive fungal infections was around 3% in the first year.
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Haemato-Oncology
Rates of IFI vary between different types of haematological malignancy (Pagano et al, 2006).
AML | ALL | CML | CLL | Lymphoma | Multiple myeloma |
12% | 6.5% | 2.5% | 0.5% | 0.7-1.5% | 0.5% |
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