An Italian consensus for invasive candidiasis management (ITALIC)

L. Scudeller, C. Viscoli, F. Menichetti, V. Del Bono, F. Cristini, C. Tascini, M. Bassetti, P. Viale

Research output: Contribution to journalArticlepeer-review

Abstract

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, Società 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.

Original languageEnglish
Pages (from-to)263-279
Number of pages17
JournalInfection
Volume42
Issue number2
DOIs
Publication statusPublished - 2014

Keywords

  • Clinical severity
  • Consensus
  • Diagnosis
  • Invasive candidiasis
  • Management
  • Recommendations
  • Review
  • Risk stratification

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Medicine(all)

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