C00-C97 B37 B38 B39 B40 B41 B42 B43 B44 B45 B46 B47 B48 B49
Conditions
Interventions
Group 1: Phase 1 (12 months): Documentaton and evaluation of indication, choice of antifungal agent, dosage, interactions of the antifungal prescriptions WITHOUT advice from a clinical pharmacist
Grou
after the end of phase 1): Documentation and evaluation of indication, choice of antifungal agent, dosage, interactions of the antifungal prescriptions WITH advice from a clinical pharmacist
Sponsors
Promotionsprogramm Klinische Pharmazie, LMU Klinikum München
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: age > 18 years, underlying haematological-oncological disease, treatment with systemic antifungal agents
Exclusion criteria
Exclusion criteria: Superficial fungal infection (e.g. nail / skin fungus), inpatient stay <24 h
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoints are the change in the MAI score / patient and the number of existing ABP / patient between the first phase and the second phase. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Number of breakthrough infections, postponed chemotherapy, transfers to an intensive care unit and number of deaths due to an invasive fungal infection - Number and severity of side effects typical of antifungal drugs - Time to improvement of symptoms and / or diagnostic parameters (fever, CRP, infiltrates in HR-CT, fungal antigens, etc.) - Serum level measurements of azole antifungal agents phase I vs. Phase II (number of measurements carried out, number of serum levels not in therapeutic range) - The influence of patient-specific factors (demographic and clinical factors, laboratory parameters, concomitant medications) on Serum concentrations of azole antifungals - Number and type of CYP2C19 genotyping carried out - Number of substance changes - Number of implemented recommendations ("response rate") - Satisfaction and acceptance of the measures by the doctors (grading scale) | — |
Countries
Germany
Contacts
Public ContactDorothea Strobach
Promotionsprogramm Klinische Pharmazie und Apotheke, LMU Klinikum München
Outcome results
None listed