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Critical Care
Published in: Critical Care 1/2018

Open Access 01-12-2018 | Letter

Appraisal of fungal infections during ECMO therapy

Authors: Nicolas Mongardon, Ophélie Constant, Fabio Silvio Taccone, Eric Levesque

Published in: Critical Care | Issue 1/2018

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Excerpt

We read with great interest the study of Cavayas and colleagues, which retrospectively investigated the occurrence and the impact of fungal infections in patients on extracorporeal membrane oxygenation (ECMO) included in the Extracorporeal Life Support Organization registry [1]. Despite the high selection of these patients, the authors concluded that fungal infections were not more frequent in patients on ECMO than in other critically ill patients but were independently associated with poor outcome. Because infectious complications are extremely important in ECMO patients [2], we would like to discuss some important issues raised by this study. …
Literature
1.
2.
Biffi S, Di Bella S, Scaravilli V, et al. Infections during extracorporeal membrane oxygenation: epidemiology, risk factors, pathogenesis and prevention. Int J Antimicrob Agents. 2017;50:9–16.CrossRefPubMed
3.
Blot SI, Taccone FS, Van den Abeele A-M, et al. A clinical algorithm to diagnose invasive pulmonary aspergillosis in critically ill patients. Am J Respir Crit Care Med. 2012;186:56–64.CrossRefPubMed
4.
Taccone FS, Van den Abeele A-M, Bulpa P, et al. Epidemiology of invasive aspergillosis in critically ill patients: clinical presentation, underlying conditions, and outcomes. Crit Care. 2015;19:7.CrossRefPubMedPubMedCentral
5.
Rodriguez-Goncer I, Thomas S, Foden P, et al. Invasive pulmonary aspergillosis is associated with adverse clinical outcomes in critically ill patients receiving veno-venous extracorporeal membrane oxygenation. Eur J Clin Microbiol Infect Dis. 2018. https://​doi.​org/​10.​1007/​s10096-018-3241-7. Epub ahead of print.
Metadata
Title
Appraisal of fungal infections during ECMO therapy
Authors
Nicolas Mongardon
Ophélie Constant
Fabio Silvio Taccone
Eric Levesque
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2082-1

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