Variables predicting bacterial and fungal infections after allogeneic marrow engraftment

Transplantation. 1987 Mar;43(3):393-8. doi: 10.1097/00007890-198703000-00015.

Abstract

Sixty-seven consecutive patients with aplastic anemia or leukemia who had been treated by allogeneic marrow transplantation and had survived for more than 1 month were surveyed in order to determine the incidence of nonviral infections occurring from 1 month to 3 years after transplantation. Twenty-eight of the 67 patients had one or more infections during this period. Around 20% suffered from pulmonary infections and 20% were classified as having a systemic infection. Ten patients died of bacterial or fungal infection, of whom 6 had graft-versus-host disease. In multivariate analyses acute graft-versus-host disease (P less than 0.0009), splenectomy (P less than 0.02), cytomegalovirus infection (P less than 0.05), and a low marrow cell dose (P less than 0.07) were correlated with nonviral infections.

MeSH terms

  • Adolescent
  • Adult
  • Anemia, Aplastic / complications
  • Anemia, Aplastic / therapy
  • Bacterial Infections / etiology*
  • Bone Marrow Transplantation*
  • Child
  • Child, Preschool
  • Cytomegalovirus Infections / complications
  • Female
  • Graft vs Host Disease / complications
  • Humans
  • Infant
  • Leukemia / complications
  • Leukemia / therapy
  • Male
  • Middle Aged
  • Mycoses / etiology*
  • Postoperative Complications / etiology*
  • Predictive Value of Tests
  • Risk
  • Splenectomy / adverse effects
  • Statistics as Topic