Interdisziplinäres Zentrum für Palliativmedizin, Agaplesion Markus Krankenhaus, Wilhelm Epstein-Straße 4, 60431, Frankfurt, Germany,
Ann Hematol. 2014 Jan;93(1):13-32. doi: 10.1007/s00277-013-1867-1. Epub 2013 Sep 12.
The Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO) here presents its updated recommendations for the treatment of documented fungal infections. Invasive fungal infections are a main cause of morbidity and mortality in cancer patients undergoing intensive chemotherapy regimens. In recent years, new antifungal agents have been licensed, and agents already approved have been studied in new indications. The choice of the most appropriate antifungal treatment depends on the fungal species suspected or identified, the patient's risk factors (e.g., length and depth of neutropenia), and the expected side effects. This guideline reviews the clinical studies that served as a basis for the following recommendations. All recommendations including the levels of evidence are summarized in tables to give the reader rapid access to the information.
德国血液学和肿瘤学会(DGHO)传染病工作组(AGIHO)在此提出了经修订的真菌感染治疗推荐意见。侵袭性真菌感染是接受强化化疗方案的癌症患者发病率和死亡率的主要原因。近年来,已批准了一些新的抗真菌药物,并且已经在新的适应证中研究了已批准的药物。最适当的抗真菌治疗的选择取决于疑似或已确定的真菌种类、患者的危险因素(例如,中性粒细胞减少症的持续时间和深度)和预期的副作用。本指南综述了作为以下推荐意见基础的临床研究。所有建议(包括证据水平)均总结在表格中,以便读者快速获取信息。