Invasive non-Aspergillus mold infections in transplant recipients, United States, 2001-2006.

dc.contributor.author

Park, Benjamin J

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Pappas, Peter G

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Wannemuehler, Kathleen A

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Alexander, Barbara D

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Anaissie, Elias J

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Andes, David R

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Baddley, John W

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Brown, Janice M

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Brumble, Lisa M

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Freifeld, Alison G

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Hadley, Susan

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Herwaldt, Loreen

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Ito, James I

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Kauffman, Carol A

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Lyon, G Marshall

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Marr, Kieren A

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Morrison, Vicki A

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Papanicolaou, Genovefa

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Patterson, Thomas F

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Perl, Trish M

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Schuster, Mindy G

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Walker, Randall

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Wingard, John R

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Walsh, Thomas J

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Kontoyiannis, Dimitrios P

dc.date.accessioned

2022-10-03T11:11:49Z

dc.date.available

2022-10-03T11:11:49Z

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2011-10

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2022-10-03T11:11:49Z

dc.description.abstract

Recent reports describe increasing incidence of non-Aspergillus mold infections in hematopoietic cell transplant (HCT) and solid organ transplant (SOT) recipients. To investigate the epidemiology of infections with Mucorales, Fusarium spp., and Scedosporium spp. molds, we analyzed data from the Transplant-Associated Infection Surveillance Network, 23 transplant centers that conducted prospective surveillance for invasive fungal infections during 2001-2006. We identified 169 infections (105 Mucorales, 37 Fusarium spp., and 27 Scedosporium spp.) in 169 patients; 124 (73.4%) were in HCT recipients, and 45 (26.6%) were in SOT recipients. The crude 90-day mortality rate was 56.6%. The 12-month mucormycosis cumulative incidence was 0.29% for HCT and 0.07% for SOT. Mucormycosis incidence among HCT recipients varied widely, from 0.08% to 0.69%, with higher incidence in cohorts receiving transplants during 2003 and 2004. Non-Aspergillus mold infections continue to be associated with high mortality rates. The incidence of mucormycosis in HCT recipients increased substantially during the surveillance period.

dc.identifier.issn

1080-6040

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1080-6059

dc.identifier.uri

https://hdl.handle.net/10161/26036

dc.language

eng

dc.publisher

Centers for Disease Control and Prevention (CDC)

dc.relation.ispartof

Emerging infectious diseases

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10.3201/eid1710.110087

dc.subject

Humans

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Opportunistic Infections

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Mycoses

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Antifungal Agents

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Transplantation

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Incidence

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Cohort Studies

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Follow-Up Studies

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Adult

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Middle Aged

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United States

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Female

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Male

dc.title

Invasive non-Aspergillus mold infections in transplant recipients, United States, 2001-2006.

dc.type

Journal article

duke.contributor.orcid

Alexander, Barbara D|0000-0001-5868-0529

pubs.begin-page

1855

pubs.end-page

1864

pubs.issue

10

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

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Medicine

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Pathology

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Medicine, Infectious Diseases

pubs.publication-status

Published

pubs.volume

17

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