Diagnosis of invasive fungal diseases in haematology and oncology: 2018 update of the recommendations of the infectious diseases working party of the German society for hematology and medical oncology (AGIHO)
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Diagnosis of invasive fungal diseases in haematology and oncology: 2018 update of the recommendations of the infectious diseases working party of the German society for hematology and medical oncology (AGIHO). / Ruhnke, Markus; Behre, Gerhard; Buchheidt, Dieter; Christopeit, Maximilian; Hamprecht, Axel; Heinz, Werner; Heussel, Claus-Peter; Horger, Marius; Kurzai, Oliver; Karthaus, Meinolf; Löffler, Jürgen; Maschmeyer, Georg; Penack, Olaf; Rieger, Christina; Rickerts, Volker; Ritter, Jörg; Schmidt-Hieber, Martin; Schuelper, Nikolai; Schwartz, Stefan; Ullmann, Andrew; Vehreschild, Jörg Janne; von Lilienfeld-Toal, Marie; Weber, Thomas; Wolf, Hans H.
In: MYCOSES, Vol. 61, No. 11, 11.2018, p. 796-813.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Diagnosis of invasive fungal diseases in haematology and oncology: 2018 update of the recommendations of the infectious diseases working party of the German society for hematology and medical oncology (AGIHO)
AU - Ruhnke, Markus
AU - Behre, Gerhard
AU - Buchheidt, Dieter
AU - Christopeit, Maximilian
AU - Hamprecht, Axel
AU - Heinz, Werner
AU - Heussel, Claus-Peter
AU - Horger, Marius
AU - Kurzai, Oliver
AU - Karthaus, Meinolf
AU - Löffler, Jürgen
AU - Maschmeyer, Georg
AU - Penack, Olaf
AU - Rieger, Christina
AU - Rickerts, Volker
AU - Ritter, Jörg
AU - Schmidt-Hieber, Martin
AU - Schuelper, Nikolai
AU - Schwartz, Stefan
AU - Ullmann, Andrew
AU - Vehreschild, Jörg Janne
AU - von Lilienfeld-Toal, Marie
AU - Weber, Thomas
AU - Wolf, Hans H
N1 - © 2018 Blackwell Verlag GmbH.
PY - 2018/11
Y1 - 2018/11
N2 - Invasive fungal diseases (IFD) are a primary cause of morbidity and mortality in patients with haematological malignancies. These infections are mostly life-threatening and an early diagnosis and initiation of appropriate antifungal therapy are essential for the clinical outcome. Most commonly, Aspergillus and Candida species are involved. However, other Non-Aspergillus moulds are increasingly identified in case of documented IFD. For definite diagnosis of IFD, a combination of diagnostic tools have to be applied, including conventional mycological culture and non-conventional microbiological tests such as antibody/antigen and molecular tests, as well as histopathology and radiology. Although varying widely in cancer patients, the risk of invasive fungal infection is highest in those with allogeneic stem cell transplantation and those with acute leukaemia and markedly lower in patients with solid cancer. Since the last edition of Diagnosis of Invasive Fungal Diseases recommendations of the German Society for Hematology and Oncology in 2012, integrated care pathways have been proposed for the management and therapy of IFDs with either a diagnostic driven strategy as opposed to a clinical or empirical driven strategy. This update discusses the impact of this additional evidence and effective revisions.
AB - Invasive fungal diseases (IFD) are a primary cause of morbidity and mortality in patients with haematological malignancies. These infections are mostly life-threatening and an early diagnosis and initiation of appropriate antifungal therapy are essential for the clinical outcome. Most commonly, Aspergillus and Candida species are involved. However, other Non-Aspergillus moulds are increasingly identified in case of documented IFD. For definite diagnosis of IFD, a combination of diagnostic tools have to be applied, including conventional mycological culture and non-conventional microbiological tests such as antibody/antigen and molecular tests, as well as histopathology and radiology. Although varying widely in cancer patients, the risk of invasive fungal infection is highest in those with allogeneic stem cell transplantation and those with acute leukaemia and markedly lower in patients with solid cancer. Since the last edition of Diagnosis of Invasive Fungal Diseases recommendations of the German Society for Hematology and Oncology in 2012, integrated care pathways have been proposed for the management and therapy of IFDs with either a diagnostic driven strategy as opposed to a clinical or empirical driven strategy. This update discusses the impact of this additional evidence and effective revisions.
KW - Antifungal Agents
KW - Fungi
KW - Germany
KW - Hematology
KW - Humans
KW - Invasive Fungal Infections
KW - Medical Oncology
KW - Practice Guidelines as Topic
KW - Journal Article
KW - Review
U2 - 10.1111/myc.12838
DO - 10.1111/myc.12838
M3 - SCORING: Review article
C2 - 30098069
VL - 61
SP - 796
EP - 813
JO - MYCOSES
JF - MYCOSES
SN - 0933-7407
IS - 11
ER -