Infectious Diseases Department, Hospital de Vall d'Hebron, Barcelona, Spain.
Clin Microbiol Infect. 2011 Apr;17 Suppl 2:1-24. doi: 10.1111/j.1469-0691.2011.03477.x.
Invasive fungal infections (IFIs) caused by filamentous fungi still have high rates of mortality, associated with difficulties in early detection of the infection and therapeutic limitations. Consequently, a useful approach is to prevent patients at risk of fungal infection from coming into contact with conidia of Aspergillus and other mould species. This document describes the recommendations for preventing IFI caused by filamentous fungi worked out by Spanish experts from different medical and professional fields. The article reviews the incidence of IFI in different risk populations, and questions related to environmental measures for prevention, control of hospital infections, additional procedures for prevention, prevention of IFI outside of hospital facilities and antifungal prophylaxis are also analysed.
侵袭性真菌感染(IFI)仍然由丝状真菌引起,死亡率较高,这与感染的早期检测困难和治疗限制有关。因此,一种有用的方法是防止有真菌感染风险的患者接触到曲霉和其他霉菌物种的分生孢子。本文描述了西班牙不同医学和专业领域的专家制定的预防丝状真菌引起的 IFI 的建议。文章回顾了不同风险人群中 IFI 的发生率,并分析了与环境预防措施、医院感染控制、预防附加程序、医院设施外 IFI 的预防和抗真菌预防有关的问题。