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本文引用的文献

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Defining clinical failure for salvage studies.定义挽救性研究的临床失败标准。
Med Mycol. 2006 Sep 1;44(Supplement_1):S315-S318. doi: 10.1080/13693780600835690.
2
ESCMID* guideline for the diagnosis and management of Candida diseases 2012: adults with haematological malignancies and after haematopoietic stem cell transplantation (HCT).ESCMID* 指南:2012 年血液病患者和造血干细胞移植(HCT)后患者侵袭性念珠菌病的诊断和管理。
Clin Microbiol Infect. 2012 Dec;18 Suppl 7:53-67. doi: 10.1111/1469-0691.12041.
3
The effect of therapeutic drug monitoring on safety and efficacy of voriconazole in invasive fungal infections: a randomized controlled trial.治疗药物监测对侵袭性真菌感染伏立康唑安全性和疗效的影响:一项随机对照试验。
Clin Infect Dis. 2012 Oct;55(8):1080-7. doi: 10.1093/cid/cis599. Epub 2012 Jul 3.
4
Challenging recommended oral and intravenous voriconazole doses for improved efficacy and safety: population pharmacokinetics-based analysis of adult patients with invasive fungal infections.挑战推荐的口服和静脉伏立康唑剂量以提高疗效和安全性:基于群体药代动力学分析成人侵袭性真菌感染患者。
Clin Infect Dis. 2012 Aug;55(3):381-90. doi: 10.1093/cid/cis437. Epub 2012 May 18.
5
Successful treatment of disseminated cryptococcal infection in a pediatric acute lymphoblastic leukemia patient during induction.一名小儿急性淋巴细胞白血病患者在诱导治疗期间成功治愈播散性隐球菌感染。
J Pediatr Hematol Oncol. 2012 May;34(4):e161-3. doi: 10.1097/MPH.0b013e318236c502.
6
Successful treatment of Trichosporon fungemia in a patient with refractory acute myeloid leukemia using voriconazole combined with liposomal amphotericin B.伏立康唑联合脂质体两性霉素B成功治疗1例难治性急性髓系白血病合并毛孢子菌血症患者
Transpl Infect Dis. 2012 Apr;14(2):184-7. doi: 10.1111/j.1399-3062.2011.00670.x. Epub 2011 Sep 28.
7
Universal antifungal therapy is not needed in persistent febrile neutropenia: a tailored diagnostic and therapeutic approach.持久发热性中性粒细胞减少症中无需使用通用抗真菌治疗:一种针对性的诊断和治疗方法。
Haematologica. 2012 Mar;97(3):464-71. doi: 10.3324/haematol.2011.049999. Epub 2011 Nov 4.
8
Comparison of the early fungicidal activity of high-dose fluconazole, voriconazole, and flucytosine as second-line drugs given in combination with amphotericin B for the treatment of HIV-associated cryptococcal meningitis.比较高剂量氟康唑、伏立康唑和氟胞嘧啶作为二线药物联合两性霉素 B 治疗 HIV 相关隐球菌性脑膜炎的早期杀菌活性。
Clin Infect Dis. 2012 Jan 1;54(1):121-8. doi: 10.1093/cid/cir745. Epub 2011 Nov 3.
9
Infection and colonisation due to Scedosporium in Northern Spain. An in vitro antifungal susceptibility and molecular epidemiology study of 60 isolates.西班牙北部的枝孢属真菌感染和定植:60 株分离株的体外抗真菌药敏和分子流行病学研究。
Mycoses. 2011 Oct;54 Suppl 3:12-21. doi: 10.1111/j.1439-0507.2011.02110.x.
10
An observational efficacy and safety analysis of the treatment of acute invasive aspergillosis using voriconazole.伏立康唑治疗急性侵袭性曲霉病的疗效和安全性观察分析。
Eur J Clin Microbiol Infect Dis. 2012 Jun;31(6):1173-9. doi: 10.1007/s10096-011-1425-5. Epub 2011 Oct 5.

癌症患者侵袭性真菌感染的治疗——德国血液学和肿瘤学会感染疾病工作组(AGIHO)的更新建议。

Treatment of invasive fungal infections in cancer patients-updated recommendations of the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO).

机构信息

Interdisziplinäres Zentrum für Palliativmedizin, Agaplesion Markus Krankenhaus, Wilhelm Epstein-Straße 4, 60431, Frankfurt, Germany,

出版信息

Ann Hematol. 2014 Jan;93(1):13-32. doi: 10.1007/s00277-013-1867-1. Epub 2013 Sep 12.

DOI:10.1007/s00277-013-1867-1
PMID:24026426
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3889633/
Abstract

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.

摘要

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。