Treatment of invasive candidiasis: between guidelines and daily clinical practice.

Abstract:

:Invasive candidiasis, including candidemia (IC/C), is a major cause of morbidity and mortality among hospitalized patients. While incidence is higher in intensive care units, the majority of cases of candidemia are documented in medical wards. Although Candida albicans is still the most frequently isolated species, IC/C due to non-albicans species, usually less susceptible to fluconazole, is increasing. Early identification of patients at risk, knowledge of local epidemiology and prompt efforts to define etiologic diagnosis play a pivotal role for appropriateness. Starting therapy with an echinocandin, switching then to fluconazole when possible, seems to represent a potentially useful strategy for the management of IC/C. The choice between the three echinocandins should be based on the specific indications, pharmacokinetic/pharmacodynamic profile, clinical experience and relative cost.

authors

Tagliaferri E,Menichetti F

doi

10.1586/14787210.2015.1029916

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

685-9

issue

6

eissn

1478-7210

issn

1744-8336

journal_volume

13

pub_type

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