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An Italian consensus for invasive candidiasis management (ITALIC)

By L Scudeller, C. Viscoli, F. Menichetti, V. Del Bono, F. Cristini, C. Tascini, M. Bassetti, P. Viale and R. Luzzati


INTRODUCTION: Invasive candidiasis (IC) has primarily been studied in intensive\ud care unit (ICU) patients, although, in reality, a vast majority of these\ud infections occur outside of the ICU. The recent publication of the European\ud Society of Clinical Microbiology and Infectious Diseases (ESCMID) guidelines also\ud deal with the non-ICU population, but many uncertainties remain on the management\ud of IC, particularly in non-critically ill patients.\ud METHODS: The Italian Society of Antimicrobial Therapy, Società Italiana di\ud Terapia Antimicrobica (SITA), produced practical, hospital-wide recommendations\ud on the management of Candida infection in non-immunocompromised patients in the\ud hospital ward.\ud RESULTS AND DISCUSSION: Our focus is on patient stratification in terms of risk\ud factors for IC and of clinical severity, emphasising a high index of suspicion to\ud ensure early diagnosis, early treatment and de-escalation when a patient is\ud clinically stable, in order to optimise resource allocation

Topics: Clinical severity, Consensus, Diagnosis, Invasive candidiasis, Management, Recommendations, Review, Risk stratification, Antifungal Agents, Candidiasis, Invasive, Consensus, Humans, Italy, Risk Factors, Microbiology (medical), Infectious Diseases, Medicine (all)
Year: 2014
DOI identifier: 10.1007/s15010-013-0558-0
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