Table 10.

Empirical/pre-emptive therapy: Agents of choice.

Beneficial effect: Rate (interval), P value
StudyAgents and PopulationFungal InfectionsMortality
Abbreviations: LAMB, liposomal amphotericin B; AmB-D, amphotericin B; pts, patients; ABCD, amphotericin B colloidal dispersion; NS, not significant. 
Bow, 200035  Empirical, Drug vs AmB-D: 2756 cancer patients 
 Azoles vs. AmB-D 1.15 (0.76–1.74) NS 1.18 (0.47–2.99) NS 
 LAMB vs. AmB-D 1.11 (0.7–1.75) NS 0.35 (0.14–0.87) LAMB ↓ 
Johansen, 200236  Empirical, Polyenes: 1790 cancer patients 
 LAMB vs. AmB-D 1149 pts 0.63 (0.39–1.01) P = .053 LAMB ↓ IFI 0.74 (0.52–1.07), P = .11 Trend to ↓ with LAMB 
 Intralipid AmB vs. AmB-D 379 pts  0.67 (0.12–3.75) NS 0.53 (0.2–1.4), NS 
 ABCD vs. AmB-D 262 pts 1.21 (0.28–5.16) NS 1.19 (0.61–2.34), NS 
Gotzsche, 200233  Prophylaxis/empirical therapy: Drug more effective than none = 4094 patients 
 AmB-D, LAMB 0.39 (0.2–0.76), P = .01 0.73 (0.5–1.03), P = .08 
 Itraconazole 0.51 (0.27–0.96), P = .04 0.88 (0.58–1.34), P = .6 
Beneficial effect: Rate (interval), P value
StudyAgents and PopulationFungal InfectionsMortality
Abbreviations: LAMB, liposomal amphotericin B; AmB-D, amphotericin B; pts, patients; ABCD, amphotericin B colloidal dispersion; NS, not significant. 
Bow, 200035  Empirical, Drug vs AmB-D: 2756 cancer patients 
 Azoles vs. AmB-D 1.15 (0.76–1.74) NS 1.18 (0.47–2.99) NS 
 LAMB vs. AmB-D 1.11 (0.7–1.75) NS 0.35 (0.14–0.87) LAMB ↓ 
Johansen, 200236  Empirical, Polyenes: 1790 cancer patients 
 LAMB vs. AmB-D 1149 pts 0.63 (0.39–1.01) P = .053 LAMB ↓ IFI 0.74 (0.52–1.07), P = .11 Trend to ↓ with LAMB 
 Intralipid AmB vs. AmB-D 379 pts  0.67 (0.12–3.75) NS 0.53 (0.2–1.4), NS 
 ABCD vs. AmB-D 262 pts 1.21 (0.28–5.16) NS 1.19 (0.61–2.34), NS 
Gotzsche, 200233  Prophylaxis/empirical therapy: Drug more effective than none = 4094 patients 
 AmB-D, LAMB 0.39 (0.2–0.76), P = .01 0.73 (0.5–1.03), P = .08 
 Itraconazole 0.51 (0.27–0.96), P = .04 0.88 (0.58–1.34), P = .6 
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