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侵袭性念珠菌病的管理进展

Update on management of invasive candidiasis.

作者信息

Candel F J, Pazos Pacheco C, Ruiz-Camps I, Maseda E, Sánchez-Benito M R, Montero A, Puig M, Gilsanz F, Aguilar J, Matesanz M

机构信息

Dr Francisco Javier Candel González, Department of Clinical Microbiology and Infectious Diseases. Hospital Clínico San Carlos. IDISSC. Universidad Complutense. Avda Profesor Martín Lagos s/n, 28040. Madrid, Spain.

出版信息

Rev Esp Quimioter. 2017 Dec;30(6):397-406. Epub 2017 Nov 6.

Abstract

Given the growing incidence of invasive candidiasis in critically ill and haemato-oncological patients and its poor outcomes, an early diagnosis and treatment are need for get a better prognosis. This document reviews the current ap-proaches that help in diagnosis of invasive candidiasis based on culture-independent microbiological tests. The combination of clinical prediction scores with fungal serological markers could facilitate the approach in antifungal therapy, optimiz-ing it. This article also reviews the epidemiology and primary risk factors for invasive candidiasis in these patients, updating the therapeutic approach algorithms in both clinical contexts based on the main evidence and international guidelines.

摘要

鉴于侵袭性念珠菌病在重症患者和血液肿瘤患者中的发病率不断上升且预后不佳,需要进行早期诊断和治疗以获得更好的预后。本文回顾了目前基于非培养微生物检测有助于诊断侵袭性念珠菌病的方法。临床预测评分与真菌血清学标志物的结合可以促进抗真菌治疗方法的优化。本文还回顾了这些患者侵袭性念珠菌病的流行病学和主要危险因素,并根据主要证据和国际指南更新了这两种临床情况下的治疗方法算法。

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