Journal
INFECTION
Volume 42, Issue 2, Pages 263-279Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s15010-013-0558-0
Keywords
Invasive candidiasis; Diagnosis; Management; Risk stratification; Clinical severity; Review; Consensus; Recommendations
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Funding
- MSD Italia Sri
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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.
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