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Maschmeyer G et al. - Invasive fungal infections were diagnosed in eight patients in either study arm. One patient in each arm died from proven invasive aspergillosis. There was no difference in the use of systemic antifungals. Of patients in the mask group, 65% described the comfort as acceptable, 26% as unpleasant, and 9% as intolerable. This first randomised study on the use of well-fitting masks failed to show a reduction of invasive fungal infections.

Exclusive Author Commentary
G. Maschmeyer, 05/27/09

The issue of effective prophylaxis of mould infections in severely myelosuppressed patients is still unresolved. Prevention of inhalataion of spore-loaded dust should not be neglected as a consequence from this study. Perhaps the combination of preventive measures and antifungal chemoprophylaxis will further reduce the burden of these invasive fungal infections.

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