Literature DB >> 20594986

Prevalence and treatment management of oropharyngeal candidiasis in cancer patients: results of the French CANDIDOSCOPE study.

Joseph Gligorov1, Laurent Bastit, Honorine Gervais, Mehdi Henni, Widad Kahila, Daniel Lepille, Elisabeth Luporsi, Giuseppe Sasso, Charles Varette, David Azria.   

Abstract

PURPOSE: The aim of this pharmaco-epidemiological study was to evaluate the prevalence of oropharyngeal candidiasis (OPC) in cancer patients treated with chemotherapy and/or radiotherapy. METHODS AND MATERIALS: Signs and symptoms of OPC were noted for all patients. Antifungal therapeutic management was recorded in OPC patients. Patients receiving local antifungal treatments were monitored until the end of treatment.
RESULTS: Enrolled in the study were 2,042 patients with solid tumor and/or lymphoma treated with chemotherapy and/or another systemic cancer treatment and/or radiotherapy. The overall prevalence of OPC was 9.6% (95% confidence interval, 8.4%-11.0%] in this population. It was most frequent in patients treated with combined chemoradiotherapy (22.0%) or with more than two cytotoxic agents (16.9%). Local antifungal treatments were prescribed in 75.0% of OPC patients as recommended by guidelines. The compliance to treatment was higher in patients receiving once-daily miconazole mucoadhesive buccal tablet (MBT; 88.2%) than in those treated with several daily mouthwashes of amphotericin B (40%) or nystatin (18.8%).
CONCLUSION: OPC prevalence in treated cancer patients was high. Local treatments were usually prescribed as per guidelines. Compliance to local treatments was better with once-daily drugs.
Copyright © 2011 Elsevier Inc. All rights reserved.

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Year:  2010        PMID: 20594986     DOI: 10.1016/j.ijrobp.2010.02.006

Source DB:  PubMed          Journal:  Int J Radiat Oncol Biol Phys        ISSN: 0360-3016            Impact factor:   7.038


  13 in total

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Review 9.  Therapy of Skin, Hair and Nail Fungal Infections.

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10.  A retrospective study of factors associated with the development of oral candidiasis in patients receiving radiotherapy for head and neck cancer: Is topical steroid therapy a risk factor for oral candidiasis?

Authors:  Yumiko Kawashita; Madoka Funahara; Masako Yoshimatsu; Noriko Nakao; Sakiko Soutome; Toshiyuki Saito; Masahiro Umeda
Journal:  Medicine (Baltimore)       Date:  2018-11       Impact factor: 1.817

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