Journal Article

Risk Factors for Death Among Cancer Patients with Fungemia

Marcio Nucci, Maria Isabel Silveira, Nelson Spector, Fernanda Silveira, Eduardo Velasco, Tiyomi Akiti, Gloria Barreiros, Andrea Derossi, Arnaldo L. Colombo and Wolmar Pulcheri

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 27, issue 1, pages 107-111
Published in print July 1998 | ISSN: 1058-4838
Published online July 1998 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/514609
Risk Factors for Death Among Cancer Patients with Fungemia

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In order to identify prognostic factors for death among cancer patients with fungemia, an 18-month survey of fungemia in patients with cancer was undertaken in three hospitals in Rio de Janeiro. For the assessment of risk factors for death, the following variables were analyzed: age; gender; underlying cancer; last treatment for the underlying disease; previous surgery; use of antibiotics, antifungal agents, steroids, or total parenteral nutrition; use of a central venous catheter; chemotherapy; radiotherapy; presence and duration of neutropenia; etiologic agent of the fungemia; treatment of the fungemia; clinical manifestations; and performance status (Karnofsky score) on the day of the positive blood culture. In multivariate analysis, the variables associated with an increased risk for death were older age, persistent neutropenia, and low performance status. Identifying risk factors for death may help to define a group of high-risk patients for whom new therapeutic options should be tried.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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