ESCMID* guideline for the diagnosis and management of Candida diseases 2012: non-neutropenic adult patients.

Details

Serval ID
serval:BIB_A13057C858B7
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
ESCMID* guideline for the diagnosis and management of Candida diseases 2012: non-neutropenic adult patients.
Journal
Clinical Microbiology and Infection
Author(s)
Cornely O.A., Bassetti M., Calandra T., Garbino J., Kullberg B.J., Lortholary O., Meersseman W., Akova M., Arendrup M.C., Arikan-Akdagli S., Bille J., Castagnola E., Cuenca-Estrella M., Donnelly J.P., Groll A.H., Herbrecht R., Hope W.W., Jensen H.E., Lass-Flörl C., Petrikkos G., Richardson M.D., Roilides E., Verweij P.E., Viscoli C., Ullmann A.J.
Working group(s)
ESCMID Fungal Infection Study Group
ISSN
1469-0691 (Electronic)
ISSN-L
1198-743X
Publication state
Published
Issued date
2012
Volume
18
Number
Suppl. 7
Pages
19-37
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
This part of the EFISG guidelines focuses on non-neutropenic adult patients. Only a few of the numerous recommendations can be summarized in the abstract. Prophylactic usage of fluconazole is supported in patients with recent abdominal surgery and recurrent gastrointestinal perforations or anastomotic leakages. Candida isolation from respiratory secretions alone should never prompt treatment. For the targeted initial treatment of candidaemia, echinocandins are strongly recommended while liposomal amphotericin B and voriconazole are supported with moderate, and fluconazole with marginal strength. Treatment duration for candidaemia should be a minimum of 14 days after the end of candidaemia, which can be determined by one blood culture per day until negativity. Switching to oral treatment after 10 days of intravenous therapy has been safe in stable patients with susceptible Candida species. In candidaemia, removal of indwelling catheters is strongly recommended. If catheters cannot be removed, lipid-based amphotericin B or echinocandins should be preferred over azoles. Transoesophageal echocardiography and fundoscopy should be performed to detect organ involvement. Native valve endocarditis requires surgery within a week, while in prosthetic valve endocarditis, earlier surgery may be beneficial. The antifungal regimen of choice is liposomal amphotericin B +/- flucytosine. In ocular candidiasis, liposomal amphotericin B +/- flucytosine is recommended when the susceptibility of the isolate is unknown, and in susceptible isolates, fluconazole and voriconazole are alternatives. Amphotericin B deoxycholate is not recommended for any indication due to severe side effects.
Pubmed
Web of science
Open Access
Yes
Create date
23/01/2013 15:32
Last modification date
20/08/2019 16:07
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