Figure 2.
Recommendations for peritransplantation management of low-risk patients for IFD relapse.aThe duration of secondary antifungal prophylaxis is individualized; consider stopping after up to 6 months post-HSCT (carefully evaluating for acute and chronic toxicities from antifungals) if patient is in CR, has polymorphonuclear leukocyte (PMN) count >1000 cells per mm3, and no signs or symptoms of active IFD. bResume mold-active prophylaxis if GVHD develops (acute or chronic) requiring systemic immunosuppressive therapy. cTriazole antifungal should be administered with conditioning regimen (eg, busulphan, cyclophosphamide) or calcineurin inhibitors and sirolimus. dRole of surveillance with fungal biomarkers in asymptomatic patients receiving mold-active prophylaxis is unproven. AMB, amphotericin B; TDM, therapeutic drug monitoring.