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血液病学专家对抗真菌治疗指南的实用评价。

A practical critique of antifungal treatment guidelines for haemato-oncologists.

机构信息

Department of Haematological Oncology, St. Bartholomew's Hospital, (Blizard Institute, Queen Mary, University of London), London, UK.

出版信息

Crit Rev Microbiol. 2012 Aug;38(3):203-16. doi: 10.3109/1040841X.2011.645521. Epub 2012 Feb 11.

DOI:10.3109/1040841X.2011.645521
PMID:22324737
Abstract

The management of invasive fungal disease (IFD) in the haemato-oncology setting remains a challenge. This article reviews recent guidelines relating to IFD for their similarities and differences, as well as applying the Appraisal of Guidelines Research and Evaluation (AGREE) criteria. The guidelines' recommendations on antifungal prophylaxis, empirical and definitive treatment of candidiasis and aspergillosis are summarized; also, minimum standards for diagnosis and follow-up are discussed. This critique of the reviewed guidelines is a practical guide to physicians and commissioners in making local policies for IFD management.

摘要

血液肿瘤患者侵袭性真菌病(IFD)的管理仍然是一个挑战。本文综述了近期 IFD 相关指南,分析其异同,并应用 AGREE 标准进行评价。本文总结了指南中关于抗真菌预防、念珠菌病和曲霉病经验性和确定性治疗的推荐意见,还讨论了诊断和随访的最低标准。本文对这些指南的评价为医生和决策者制定 IFD 管理的当地政策提供了实用指南。

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