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  • Maertens, J, et al. (author)
  • ECIL guidelines for preventing Pneumocystis jirovecii pneumonia in patients with haematological malignancies and stem cell transplant recipients
  • 2016
  • In: The Journal of antimicrobial chemotherapy. - : Oxford University Press (OUP). - 1460-2091 .- 0305-7453. ; 71:9, s. 2397-2404
  • Journal article (peer-reviewed)abstract
    • The 5th European Conference on Infections in Leukaemia (ECIL-5) meeting aimed to establish evidence-based recommendations for the prophylaxis of Pneumocystis jirovecii pneumonia (PCP) in non-HIV-infected patients with an underlying haematological condition, including allogeneic HSCT recipients. Recommendations were based on the grading system of the IDSA. Trimethoprim/sulfamethoxazole given 2–3 times weekly is the drug of choice for the primary prophylaxis of PCP in adults (A-II) and children (A-I) and should be given during the entire period at risk. Recent data indicate that children may benefit equally from a once-weekly regimen (B-II). All other drugs, including pentamidine, atovaquone and dapsone, are considered second-line alternatives when trimethoprim/sulfamethoxazole is poorly tolerated or contraindicated. The main indications of PCP prophylaxis are ALL, allogeneic HSCT, treatment with alemtuzumab, fludarabine/cyclophosphamide/rituximab combinations, >4 weeks of treatment with corticosteroids and well-defined primary immune deficiencies in children. Additional indications are proposed depending on the treatment regimen.
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Type of publication
journal article (1)
Type of content
peer-reviewed (1)
Author/Editor
Cordonnier, C (1)
Donnelly, JP (1)
Maertens, J (1)
Lagrou, K (1)
Cesaro, S (1)
Einsele, H (1)
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Melchers, WJG (1)
Alanio, A (1)
Bretagne, S (1)
Maschmeyer, G (1)
Hauser, PM (1)
Helweg-Larsen, J (1)
Matos, O (1)
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University
Karolinska Institutet (1)
Language
English (1)
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