Autor según el artículo: Peral, J; Estella, A; Nuvials, X; Rodríguez, A; Seijas, I; Soriano, C; Suberviola, B; Zaragoza, R
Departamento: Medicina i Cirurgia
Autor/es de la URV: Rodríguez Oviedo, Alejandro Hugo
Palabras clave: Voriconazole Outcomes Management Invasive pulmonary aspergillosis Intensive care unit Influenza-associated invasive aspergillosis Infection Guidelines Diagnosis Critical patients Covid-associated invasive aspergillosis Covid-19 Corticosteroids Combination antifungal therapy
Resumen: The aim of this study was to establish practical recommendations for the diagnosis and treatment of influenza-associated invasive aspergillosis (IAPA) based on the available evidence and experience acquired in the management of patients with COVID-19-associated pulmonary aspergillosis (CAPA). The CAPA/IAPA expert group defined 14 areas in which recommendations would be made. To search for evidence, the PICO strategy was used for both CAPA and IAPA in PubMed, using MeSH terms in combination with free text. Based on the results, each expert developed recommendations for two to three areas that they presented to the rest of the group in various meetings in order to reach consensus. As results, the practical recommendations for the management of CAPA/IAPA patients have been grouped into 12 sections. These recommendations are presented for both entities in the following situations: when to suspect fungal infection; what diagnostic methods are useful to diagnose these two entities; what treatment is recommended; what to do in case of resistance; drug interactions or determination of antifungal levels; how to monitor treatment effectiveness; what action to take in the event of treatment failure; the implications of concomitant corticosteroid administration; indications for the combined use of antifungals; when to withdraw treatment; what to do in case of positive cultures for Aspergillus spp. in a patient with severe viral pneumonia or Aspergillus colonization; and how to position antifungal prophylaxis in these patients. Available evidence to support the practical management of CAPA/IAPA patients is very scarce. Accumulated experience acquired in the management of CAPA patients can be very useful for the management of IAPA patients. The expert group presents eminently practical recommendations for the management of CAPA/IAPA patients.
Áreas temáticas: Plant science Mycology Microbiology (medical) Microbiology Farmacia Ecology, evolution, behavior and systematics Ciências biológicas iii Ciências biológicas ii
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: alejandrohugo.rodriguez@urv.cat
Identificador del autor: 0000-0001-8828-5984
Fecha de alta del registro: 2024-08-03
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
Enlace a la fuente original: https://www.mdpi.com/2309-608X/9/3/312
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: J Fungi (Basel). 9 (3):
Referencia de l'ítem segons les normes APA: Peral, J; Estella, A; Nuvials, X; Rodríguez, A; Seijas, I; Soriano, C; Suberviola, B; Zaragoza, R (2023). Managing the Next Wave of Influenza and/or SARS-CoV-2 in the ICU-Practical Recommendations from an Expert Group for CAPA/IAPA Patients. J Fungi (Basel), 9(3), -. DOI: 10.3390/jof9030312
DOI del artículo: 10.3390/jof9030312
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2023
Tipo de publicación: Journal Publications
Repositori URV