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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1995-7-5
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pubmed:abstractText |
A randomized, double-blind, placebo-controlled trial assessed the efficacy and toxicity of 400 mg/day fluconazole in preventing fungal infections during the first 75 days after marrow transplantation. During prophylaxis, systemic fungal infections occurred in 10 (7%) of 152 fluconazole-treated patients compared with 26 (18%) of 148 placebo-treated patients (P = .004). There were no Candida albicans infections in fluconazole recipients compared with 18 in placebo recipients (P < .001) and no significant increase in Candida infections other than C. albicans. Fluconazole also significantly reduced the incidence of superficial fungal infections (P < .001), fungal colonization (P = .037), and empiric amphotericin B use (P = .005). The probability of survival was improved in fluconazole recipients, in whom 31 deaths occurred up to day 110 after transplantation compared with 52 deaths in placebo recipients (P = .004). No clinically significant toxicity was detected with fluconazole use. Prophylactic fluconazole was safe and significantly reduced systemic fungal infections with other benefits, including improved survival at day 110 after marrow transplantation.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0022-1899
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
171
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1545-52
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7769290-Adolescent,
pubmed-meshheading:7769290-Adult,
pubmed-meshheading:7769290-Amphotericin B,
pubmed-meshheading:7769290-Bone Marrow Transplantation,
pubmed-meshheading:7769290-Candida,
pubmed-meshheading:7769290-Candidiasis,
pubmed-meshheading:7769290-Double-Blind Method,
pubmed-meshheading:7769290-Drug Resistance, Microbial,
pubmed-meshheading:7769290-Female,
pubmed-meshheading:7769290-Fluconazole,
pubmed-meshheading:7769290-Humans,
pubmed-meshheading:7769290-Male,
pubmed-meshheading:7769290-Middle Aged,
pubmed-meshheading:7769290-Opportunistic Infections,
pubmed-meshheading:7769290-Patient Compliance,
pubmed-meshheading:7769290-Prospective Studies,
pubmed-meshheading:7769290-Survival Analysis
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pubmed:year |
1995
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pubmed:articleTitle |
Efficacy and safety of fluconazole prophylaxis for fungal infections after marrow transplantation--a prospective, randomized, double-blind study.
|
pubmed:affiliation |
Fred Hutchinson Cancer Research Center, Seattle, WA 98104, USA.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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