Published in:
01-04-2014 | Review
An Italian consensus for invasive candidiasis management (ITALIC)
Authors:
L. Scudeller, C. Viscoli, F. Menichetti, V. del Bono, F. Cristini, C. Tascini, M. Bassetti, P. Viale
Published in:
Infection
|
Issue 2/2014
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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.