10-Year Trends in Attributable and Contributable Mortality of Culture-Positive Invasive Aspergillosis in Patients with Hematologic Malignancies: Have We Reached the “Ceiling Efficacy Effect” of Modern Antifungals?

Given competing death causalities among hematological malignancy patients with invasive aspergillosis (IA), we assessed IA-attributable, contributable, and all-cause mortalities in patients with culture-confirmed IA. Although attributable mortality decreased, contributable and all-cause mortalities remained high. Our data suggest that improving survival would require host augmentation, in addition to improved antifungals.

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Publication Details

Journal
Clinical Infectious Diseases
Published
2026-06-29
DOI
https://doi.org/10.1093/cid/ciag393
Primary Topic
Antifungal resistance and susceptibility
Type
article
Field-Weighted Citation Impact
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article

10-Year Trends in Attributable and Contributable Mortality of Culture-Positive Invasive Aspergillosis in Patients with Hematologic Malignancies: Have We Reached the “Ceiling Efficacy Effect” of Modern Antifungals?

Takahiro Matsuo, Ariel D. Szvalb, Adam G. Stewart, Teny Mathew John et al.
Clinical Infectious Diseases
Antifungal resistance and susceptibility
article

10-Year Trends in Attributable and Contributable Mortality of Culture-Positive Invasive Aspergillosis in Patients with Hematologic Malignancies: Have We Reached the “Ceiling Efficacy Effect” of Modern Antifungals?

Takahiro Matsuo, Ariel D. Szvalb, Adam G. Stewart, Teny Mathew John, Sebastian Wurster, Dimitrios P. Kontoyiannis, Sung‐Yeon Cho, Yan Jiang
article en

Abstract

Given competing death causalities among hematological malignancy patients with invasive aspergillosis (IA), we assessed IA-attributable, contributable, and all-cause mortalities in patients with culture-confirmed IA. Although attributable mortality decreased, contributable and all-cause mortalities remained high. Our data suggest that improving survival would require host augmentation, in addition to improved antifungals.

Clinical Infectious Diseases
The University of Texas MD Anderson Cancer Center (US)
Good health and well-being
Openalex Percentile: Top 8%
Antifungal resistance and susceptibility
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