An Italian consensus for invasive candidiasis management (ITALIC)

作者：Scudeller L^*; Viscoli C; Menichetti F; del Bono V; Cristini F; Tascini C; Bassetti M; Viale P

来源：Infection, 2014, 42(2): 263-279.

DOI：10.1007/s15010-013-0558-0

• Invasive candidiasis
• Diagnosis
• Management
• Risk stratification
• Clinical severity
• Review
• Consensus
• Recommendations

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

• 出版日期2014-4