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A clinical trial of prophylactic antifungal therapy in patients undergoing hematopoietic stem cell transplantation

机译:预防性抗真菌治疗患者造血干细胞移植患者的临床试验

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A retrospective study of prophylactic antifungal therapy was done in 128 patients undergoing hematopoietic stem cell transoplantation in our hospital between Mar. 1998 and Dec. 1997, Including 42 ALL, 54 AML, 15 CML, 11 Lymphoma; 2 Multiple Myeloma, 2 MDS, 1 breast cancer and 1 neuroblastoma. 82 males and 46 females, aging from 5-47(average 25). 58 patients underwent autologous bone narrow transplantation (ABMT), 43 autologous peripheral blood stem cell transplantation(APBSCT), 25 allogeneic bone marrow transplantation (Allo-BMT), 1 fetal liver stem cell transplantation(FLSCT) and 1 syngeneic bone marrow transplantation. All received high-dose chemotherapy so that the nadir white blood cell counts were all below 0.01 X 10~9/L. Routine fungi detections were done once every one or two weeks in pharyngeal secretion, urine and feces. Blood fungi detection was done when body temperatue >37.5 deg C . Antifungal drugs were used from -7d to the recovery from aleukia. The patients were divided into two groups according to different drugs used, ketoconszole and fluconazole, Allitridum was given to about half patients of the ketoconazole group.
机译:预防性抗真菌治疗的回顾性研究是在1998年3月和1997年12月间在我们院内造血干细胞转发器的128例患者中进行的。(包括42,54 AML,15 CML,11淋巴瘤; 2多个骨髓瘤,2 MDS,1乳腺癌和1个神经母细胞瘤。 82名男性和46名女性,年龄从5-47岁(平均25)。 58例患者接受自体骨窄移植(ABMT),43例自体外周血干细胞移植(APBSCT),25例同种异体骨髓移植(ALLO-BMT),1个胎儿肝脏干细胞移植(FLSCT)和1种同胞骨髓移植。所有接受高剂量化疗,使Nadir白细胞计数均低于0.01×10〜9 / L。常规真菌检测一次或两周在咽分泌,尿液和粪便中进行一次。当体温> 37.5℃时,血液真菌检测完成。将抗真菌药物从-7d用于从Aleukia恢复。根据所使用的不同药物,酮唑唑和氟康唑分为两组,给予酮族唑基的一半患者Allitridum。

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