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

Clin Microbiol Infect. 2015 Jun;21(6):594.e7-11. doi: 10.1016/j.cmi.2015.02.019. Epub 2015 Mar 5.

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.

Keywords: Antifungal agents; Asia-Pacific; epidemiology; haematological diseases; invasive fungal disease.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Adult
  • Asia, Southeastern / epidemiology
  • Aspergillus / isolation & purification
  • Candida / isolation & purification
  • Female
  • Fungemia / epidemiology*
  • Fungemia / mortality
  • Hematologic Diseases / complications*
  • Humans
  • Male
  • Middle Aged
  • Pacific Islands / epidemiology
  • Prevalence
  • Prospective Studies
  • Survival Analysis