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欧洲医学真菌学联合会专家咨询-ECMM 卓越中心倡议。

European confederation of medical mycology expert consult-An ECMM excellence center initiative.

机构信息

Department I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, Center for Integrated Oncology Aachen Bonn Cologne Dusseldorf (CIO ABCD), Excellence Center for Medical Mycology (ECMM), University of Cologne, Cologne, Germany.

Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.

出版信息

Mycoses. 2020 Jun;63(6):566-572. doi: 10.1111/myc.13076. Epub 2020 Apr 13.

Abstract

OBJECTIVES

Difficult-to-treat invasive fungal infections require infectious diseases expert consultation to improve treatment outcome and increase survival rates.

METHODS

The European Confederation of Medical Mycology (ECMM) intends to provide expert help free of charge by a newly founded ECMM Expert Consultation Service for medical centres around the globe seeking advice when there is no fungal infection consultant available. The expert consult will provide recommendations and broad expertise on difficult-to-treat invasive fungal infections (eg azole-resistant Aspergillus species, Candida auris, mucormycosis) to improve diagnostic and therapeutic management and outcome.

RESULTS

The initiative plans global outreach through video conferencing between ECMM Excellence Centers and treating physicians. FungiScope registries will be used to structure case information and to evaluate the impact of the collegial advice system at regular intervals. Advice will follow recent guidelines, and EQUAL Scores will be used to measure guideline adherence.

CONCLUSIONS

Infectious diseases expert consultation should be an integral component of care for patients with difficult-to-treat invasive fungal infections. The ECMM Expert Consult will attend to this matter on a global scale.

摘要

目的

治疗困难的侵袭性真菌感染需要感染病学专家咨询,以改善治疗结果并提高生存率。

方法

欧洲医学真菌学会(ECMM)打算通过新成立的 ECMM 专家咨询服务,为寻求咨询的全球医疗中心提供免费的专家帮助,当没有真菌感染顾问时。专家咨询将提供有关治疗困难的侵袭性真菌感染(如唑类耐药曲霉属、耳念珠菌、毛霉病)的建议和广泛的专业知识,以改善诊断和治疗管理及结果。

结果

该倡议计划通过 ECMM 卓越中心与治疗医生之间的视频会议进行全球推广。将使用 FungiScope 登记册来构建病例信息,并定期评估同行咨询系统的影响。建议将遵循最新指南,并且将使用 EQUAL 评分来衡量指南的遵守情况。

结论

感染病学专家咨询应该是治疗困难的侵袭性真菌感染患者护理的一个组成部分。ECMM 专家咨询将在全球范围内处理这一问题。

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