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Posaconazole in lung transplant recipients: use, tolerability, and efficacy

Overview of attention for article published in Transplant Infectious Disease, February 2016
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Title
Posaconazole in lung transplant recipients: use, tolerability, and efficacy
Published in
Transplant Infectious Disease, February 2016
DOI 10.1111/tid.12497
Pubmed ID
Authors

C.L. Robinson, C. Chau, S.T. Yerkovich, M. Azzopardi, P. Hopkins, D. Chambers

Abstract

Fungal infection is a common cause of mortality and morbidity in lung transplant recipients (LuTR). Treatment failure to first-line antifungals because of resistance or intolerance is an increasing problem. Posaconazole (PCZ), a triazole antifungal, is an attractive treatment option. We performed a single-center retrospective study to describe the use, tolerability, efficacy, and drug interaction effect (with tacrolimus) of PCZ oral suspension in LuTR. Seventy-eight patients were treated with PCZ oral suspension for prophylaxis (n = 15), pre-emptive treatment (n = 31), and treatment of possible (n = 7) and probable (n = 25) invasive fungal infection. A range of fungal isolates were encountered. Resolution was observed in 52.4% (probable, possible, and pre-emptive treatment groups). Aggregate all-cause 1-year mortality was 12.8%. PCZ was well tolerated with 11.5% of patients experiencing adverse effects. Despite dose adjustment strategies, 11.7% of patients experienced supratherapeutic tacrolimus levels, which in 5 cases was associated with a rise (mean 21.6 μmol/L) in serum creatinine. PCZ is well tolerated and appears effective in the management of fungal infection after lung transplantation. Patients receiving concurrent tacrolimus require careful therapeutic drug monitoring. This article is protected by copyright. All rights reserved.

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X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 10 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
France 1 10%
Unknown 9 90%

Demographic breakdown

Readers by professional status Count As %
Student > Master 2 20%
Student > Postgraduate 2 20%
Student > Ph. D. Student 1 10%
Researcher 1 10%
Student > Doctoral Student 1 10%
Other 0 0%
Unknown 3 30%
Readers by discipline Count As %
Medicine and Dentistry 6 60%
Biochemistry, Genetics and Molecular Biology 1 10%
Unknown 3 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 March 2016.
All research outputs
#19,228,030
of 24,484,013 outputs
Outputs from Transplant Infectious Disease
#927
of 1,323 outputs
Outputs of similar age
#208,751
of 303,894 outputs
Outputs of similar age from Transplant Infectious Disease
#15
of 25 outputs
Altmetric has tracked 24,484,013 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,323 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.1. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 303,894 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 25 others from the same source and published within six weeks on either side of this one. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.