Evidence map›Paper›PMID 34337090›Full record

ArticleOpen forum infectious diseases2021

When Azoles Cannot Be Used: The Clinical Effectiveness of Intermittent Liposomal Amphotericin Prophylaxis in Hematology Patients.

R Batchelor, C Thomas, B J Gardiner, S J Lee, S Fleming, A Wei, J Coutsouvelis, M Ananda-Rajah

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. The Novel Monoclonal IgGJournal of fungi (Basel, Switzerland) · 2023
    Article
  5. Article
  6. Meyerozyma guilliermondii species complex: review of current epidemiology, antifungal resistance, and mechanisms.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

R BatchelorDepartment of General Medicine, Alfred Health, Melbourne, Victoria, Australia.
C ThomasDepartment of General Medicine, Alfred Health, Melbourne, Victoria, Australia.
B J GardinerDepartment of Infectious Diseases Alfred Health Melbourne, Victoria, Australia.
S J LeeDepartment of Infectious Diseases Alfred Health Melbourne, Victoria, Australia.
S FlemingAustralian Centre for Blood Diseases, Alfred Health Melbourne, Victoria, Australia.
A WeiAustralian Centre for Blood Diseases, Alfred Health Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-7514-3298
J CoutsouvelisPharmacy Department, Alfred Health Melbourne, Victoria, Australia.
M Ananda-RajahDepartment of General Medicine, Alfred Health, Melbourne, Victoria, Australia.
Alfred Health · AUAustralian Centre for HIV and Hepatitis Virology Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients unable to take azoles are a neglected group lacking a standardized approach to antifungal prophylaxis. We evaluated the effectiveness and safety of intermittent liposomal amphotericin B (L-AMB) prophylaxis in a heterogenous group of hematology patients.

methodsA retrospective cohort of all hematology patients who received a course of intravenous L-AMB, defined as 1 mg/kg thrice weekly from July 1, 2013 to June 30, 2018, were identified from pharmacy records. Outcomes included breakthrough-invasive fungal disease (BIFD), reasons for premature discontinuation, and acute kidney injury.

resultsThere were 198 patients who received 273 courses of L-AMB prophylaxis. Using a conservative definition, the BIFD rate was 9.6% (n = 19 of 198) occurring either during L-AMB prophylaxis or up to 7 days from cessation in patients who received a course. Probable/proven BIFD occurred in 13 patients (6.6%, 13 of 198), including molds in 54% (n = 7) and non-

conclusionsOur findings demonstrate a high rate of BIFD among patients receiving L-AMB prophylaxis. Pragmatic trials will help researchers find the optimal regimen of L-AMB prophylaxis for the many clinical scenarios in which azoles are unsuitable, especially as targeted anticancer drugs increase in use.

Indexed as

antifungal prophylaxisbreakthrough fungal infectioninvasive fungal diseaseliposomal amphotericin Bmalignant hematology

Identifiers

PMID34337090
PMCPMC8318248
OpenAlexW3139088787

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.