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定义癌症和造血干细胞移植免疫受损患者中的机会性侵袭性真菌感染:一项国际共识。

Defining opportunistic invasive fungal infections in immunocompromised patients with cancer and hematopoietic stem cell transplants: an international consensus.

作者信息

Ascioglu S, Rex J H, de Pauw B, Bennett J E, Bille J, Crokaert F, Denning D W, Donnelly J P, Edwards J E, Erjavec Z, Fiere D, Lortholary O, Maertens J, Meis J F, Patterson T F, Ritter J, Selleslag D, Shah P M, Stevens D A, Walsh T J

出版信息

Clin Infect Dis. 2002 Jan 1;34(1):7-14. doi: 10.1086/323335. Epub 2001 Nov 26.

Abstract

During the past several decades, there has been a steady increase in the frequency of opportunistic invasive fungal infections (IFIs) in immunocompromised patients. However, there is substantial controversy concerning optimal diagnostic criteria for these IFIs. Therefore, members of the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group formed a consensus committee to develop standard definitions for IFIs for clinical research. On the basis of a review of literature and an international consensus, a set of research-oriented definitions for the IFIs most often seen and studied in immunocompromised patients with cancer is proposed. Three levels of probability are proposed: "proven," "probable," and "possible." The definitions are intended for use in the context of clinical and/or epidemiological research, not for clinical decision making.

摘要

在过去几十年间,免疫功能低下患者中机会性侵袭性真菌感染(IFI)的发生率持续上升。然而,关于这些IFI的最佳诊断标准存在大量争议。因此,欧洲癌症研究与治疗组织/侵袭性真菌感染合作组以及美国国立过敏和传染病研究所真菌病研究组的成员组建了一个共识委员会,以制定用于临床研究的IFI标准定义。在文献综述和国际共识的基础上,针对癌症免疫功能低下患者中最常出现和研究的IFI,提出了一套以研究为导向的定义。提出了三个可能性级别:“确诊”、“很可能”和“可能”。这些定义旨在用于临床和/或流行病学研究,而非临床决策。

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