Preemptive antifungal therapy: still a way to go.

Abstract:

PURPOSE OF REVIEW:Early treatment of invasive mold infections improves the outcome. Therapy is often delayed, however, because available diagnostic tools such as culture, microscopy and conventional radiology lack sensitivity; consequently, empirical initiation of antifungal therapy has been advocated, particularly for patients with prolonged unexplained neutropenic fever. RECENT FINDINGS:Much recent progress has been made in the development and evaluation of nonculture-based assays, including the detection of the fungal antigens galactomannan and beta-D-glucan and the detection of fungal DNA by polymerase chain reaction techniques. These new tools should aid the rapid, early diagnosis of invasive fungal disease, especially when used as screening tools in conjunction with sensitive imaging techniques. SUMMARY:The review will consider these recent developments with the purpose of introducing the concept of preemptive antifungal therapy.

journal_name

Curr Opin Infect Dis

authors

Maertens J,Deeren D,Dierickx D,Theunissen K

doi

10.1097/QCO.0b013e3280106854

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

551-6

issue

6

eissn

0951-7375

issn

1473-6527

pii

00001432-200612000-00005

journal_volume

19

pub_type

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