Table 4: Reported incidence of proven or probable invasive aspergillosis in adult patients with acute leukemia*
ReferenceSurveillance periodStudy designCountryHematologic malignancyNo. of patientsIncidence, %Standardized definitions
Klimowski et al.211964–1983Single centreUSAAML
ALL
716
546
6.7
3.3
NA
Pagano et al.181987–1998Multicentre, retrospectiveItalyAL44486.2†MSG29
Nosari et al.221989–1999Single centre, retrospectiveItalyAL6757.1NA
Cornet et al.201994–1999Multicentre, prospectiveFranceAML
ALL
NA8.0
6.3
2002 EORTC/MSG30
Mühlemann et al.251995–1999Single centre, retrospectiveSwitzerlandAL
MDS
101122002 EORTC/MSG30
Caira et al.31999–2003Multicentre, prospectiveItalyAML159610.52002 EORTC/MSG30
Pagano et al.11999–2003Multicentre, retrospectiveItalyAL
AML
ALL
4185
3012
1173
6.1
7.1
3.8
2002 EORTC/MSG30
Slobbe et al.152002–2007Single centre, prospectiveThe NetherlandsAML
MDS
269182008 EORTC/MSG27
Vehreschild et al.92003–2005Multicentre, prospectiveGermanyAML8213.42002 EORTC/MSG30
Nicolle et al.232004–2009Single centre, prospectiveFranceAL
AML
ALL
2928
2078
850
3.8
4.4
2.2
2008 EORTC/MSG27
Montagna et al.172007–2008Multicentre, prospectiveItalyAL
AML
ALL
243
195
48
1.2
1.0
2.1
2008 EORTC/MSG27
Pagano et al.192007–2009Multicentre, prospectiveItalyAML7474.2NA
Nucci et al.242007–2009Multicentre, prospectiveBrazilAML
MDS
2025.92008 EORTC/MSG27
Barkati et al. (present study)2008–2010Single centre, retrospectiveCanadaAL1018.92008 EORTC/MSG27

Note: AL = acute leukemia, ALL = acute lymphocytic leukemia, AML = acute myeloid leukemia, EORTC/MSG = European Organisation for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and Mycoses Study Group of the National Institute of Allergy and Infectious Diseases, MDS = myelodysplastic syndrome, MSG = Mycoses Study Group of the National Institute of Allergy and Infectious Diseases, NA = not available. 
*Patients with invasive aspergillosis following hematopoietic stem cell transplant for acute leukemia were excluded from this review. 
†Incidence for all cases of filamentous fungal infection (76% of which were invasive aspergillosis). 
‡Posaconazole prophylaxis was introduced in remission–induction chemotherapy for patients with AML during the year 2007.