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Table 1 Clinical characteristics of patients with invasive aspergillosis at the time of IA diagnosis

From: Airborne fungal spores and invasive aspergillosis in hematologic units in a tertiary hospital during construction: a prospective cohort study

 

Period 1a (n = 15)

Period 2b (n = 14)

Age, median years (IQR)

44 (17–60)

59 (43–63)

Male gender, no. (%)

10 (59)

11 (73)

Underlying hematologic disease, no. (%)

 Acute myeloid leukemia

8 (47)

5 (33)

 Acute lymphoid leukemia

1 (6)

2 (13)

 Myelodysplastic syndrome

3 (18)

0 (0)

 Lymphoma

2 (12)

1 (7)

 Othersc

3 (18)

7 (47)

Immunocompromised condition

 Neutropeniad

12 (80)

11 (79)

 Hematopoietic stem cell transplant

6 (40)

5 (36)

 Steroid usee

3 (20)

3 (21)

 T-cell immunosuppressant

2 (13)

3 (21)

 Human immunodeficiency virus infection

1/15f (7)

0/12f (0)

Symptoms at the time of IA diagnosis

 Fever

13 (87)

11 (79)

 Cough

4 (27)

4 (29)

 Sputum

2 (13)

4 (29)

 Dyspnea

6 (40)

3 (21)

Positive results for serum galactomannan

9 (53)

12 (80)

Positive results for beta-D-glucan

8/14f (57)

9/12f (75)

Positive results for culture specimens

4 (24)

4 (27)

Hospitalization days before IA diagnosis, median days (IQR)

23.0 (9.0–58.0)

43.5 (12.8–86.3)

Antifungal prophylaxis

 Micafungin

2 (13)

1 (7)

 Posaconazole

1 (7)

2 (14)

 Fluconazole

2 (13)

2 (14)

 No antifungal prophylaxis

10 (67)

9 (64)

Antifungal agentg

 Voriconazole

11 (65)

11 (73)

 Amphotericin B

5 (29)

1 (7)

 Echinocandin

1 (6)

1 (7)

 Others

0 (0)

2 (13)

 30-day mortality

5 (29)

3 (20)

  1. IQR interquartile range
  2. aFrom September 2017 – October 2017, during demolition and excavation works
  3. bFrom November 2017 – February 2018, during framing, interior designing, plumbing, and finishing works
  4. c1 chronic myeloid leukemia, 6 aplastic anemia, 1 multiple myeloma, 1 hemophagocytic lymphohistiocytosis, 1 neuroblastoma
  5. dAbsolute neutrophil count < 500/mm3 for more than 10 days
  6. e > 0.3 mg/kg/day prednisolone for more than 3 weeks
  7. fExcluded patients who did not undergo appropriate tests
  8. gAntifungal agent that was used for the treatment of current invasive aspergillosis for over 75% of the total duration