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Guidelines for the treatment of invasive aspergillosis


Authors: Ráčil Zdenek 1;  Mayer Jiří 1;  Kocmanová Iva 2;  Haber Jan 3;  Mallátová Naďa 4;  Kouba Michal 5;  Sedláček Petr 6;  Faber Edgar 7;  Herold Ivan 8;  Múdry Peter 9;  Drgoňa Luboš 10;  Karas Michal 11;  Buchta Vladimír 12;  Vydra Jan 13;  Kolář Michal 14;  Trupl Jan 15;  Marešová Vilma 16;  Rozsypal Hanuš 16;  Nyč Otakar 17;  Cwiertka Karel 18
Authors‘ workplace: Interní hematoonkologická klinika, FN Brno 1;  Oddělení klinické mikrobiologie, FN Brno 2;  I. interní klinika – hematoonkologická VFN, Praha 3;  Laboratoř lékařské parazitologie a mykologie, Centrální laboratoře, Nemocnice České Budějovice, a. s. 4;  Ústav hematologie a krevní transfuze Praha 5;  Klinika dětské hematologie a onkologie FN Motol, Praha 6;  Hematoonkologická klinika FN Olomouc 7;  ARO, Klaudiánova nemocnice Mladá Boleslav 8;  Klinika dětské onkologie, FN Brno 9;  Národný onkologický ústav, Bratislava, Slovensko 10;  Hematologicko-onkologické oddělení FN Plzeň 11;  Ústav klinické mikrobiologie FN Hradec Králové 12;  Oddělení klinické hematologie FNKV Praha 13;  KAR VFN, Praha 14;  Klinika laboratorní medicíny SYNLAB, s. r. o., Bratislava, Slovensko 15;  Infekční klinika FN Na Bulovce, Praha 16;  Ústav lékařské mikrobiologie FN Motol, Praha 17;  Onkologická klinika FN Olomouc 18
Published in: Anest. intenziv. Med., 20, 2009, č. 1, s. 48-56
Category: The recommendations of professional societies

Overview

An increasing incidence of invasive aspergillosis is observed in most immunocompromised patients, and especially in patients with acute leukemia and following haematopoietic stem cell transplantation. In order to decrease mortality due to this infection, clinicians need to optimize their treatment choices.

The objective of these guidelines is to summarize the current evidence for the treatment of invasive aspergillosis. The recommendations have been developed by an expert panel following an evidence-based literature search with regard to current recommendations of the European Conference in Infections in Leukemia and Infectious Diseases Society of America.

Key words:
invasive aspergillosis – treatment guidelines – antimycotics


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