Epidemiology of invasive fungal diseases among patients with haematological disorders in the Asia-Pacific: A prospective observational study

  • L. Y. Hsu
  • , D. G. Lee
  • , S. P. Yeh
  • , D. Bhurani
  • , B. Q. Khanh
  • , C. Y. Low
  • , L. Norasetthada
  • , T. Chan
  • , Y. L. Kwong
  • , A. K. Vaid
  • , I. Alejandria
  • , M. Mendoza
  • , C. Y. Chen
  • , A. Johnson
  • , T. Y. Tan

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

We conducted a 2-year multicentre prospective observational study to determine the epidemiology of and mortality associated with invasive fungal diseases (IFDs) among patients with haematological disorders in Asia. Eleven institutions from 8 countries/regions participated, with 412 subjects (28.2% possible, 38.3% probable and 33.5% proven IFDs) recruited. The epidemiology of IFDs in participating institutions was similar to Western centres, with Aspergillus spp. (65.9%) or Candida spp. (26.7%) causing the majority of probable and proven IFDs. The overall 30-day mortality was 22.1%. Progressive haematological disorder (odds ratio [OR] 5.192), invasive candidiasis (OR 3.679), and chronic renal disease (OR 6.677) were independently associated with mortality.

Original languageEnglish
Pages (from-to)594.e7-594.e11
JournalClinical Microbiology and Infection
Volume21
Issue number6
DOIs
StatePublished - 1 Jun 2015

Bibliographical note

Publisher Copyright:
© 2015 European Society of Clinical Microbiology and Infectious Diseases.

Keywords

  • Antifungal agents
  • Asia-Pacific
  • Epidemiology
  • Haematological diseases
  • Invasive fungal disease

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