Treatment of invasive candidiasis in non-haematological patients

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Antifungal prophylaxis in the ICU?Pro:-Reduces the incidence ofinvasive candidiasis!with app. 50%-Again: identification oftarget patients difficult-High risk patients-In high incidence area-Necrotizing pancreatitis-Recurrent GI leakageCon:- Unselected ICUs: 1-2% invasivecandidiasis- In most hospitals;Ineffective strategy
Empirical antifungal therapy in ICURCT Prospective study in ICU patientsInclusion:•Unexplained fever > 4 d•Broadspectrum antibiotics ≥ 4 d•APACHE-II score ≥ 16•CVC ≥ 1 d(no colonization criteria!) 14d Fluconazole (800mg/d) or placeboSchuster, Ann Intern Med. 2008
Page 5 and 6: EpidemiologyMainly data from the US
Page 7 and 8: Survival in candidemia, species rel
Page 9 and 10: Question1 : Which Candida species i
Page 11 and 12: Incidence and mortality of Candida
Page 13 and 14: HOW TO IDENTIFY PATIENTSAT RISK FOR
Page 15 and 16: Question 2: Which factor has the gr
Page 17 and 18: Identification of patients“Ostros
Page 19 and 20: Question3: What’s the problem wit
Page 21 and 22: Identification of patients“Ostros
Page 23 and 24: Are the risk predictive models gene
Page 25 and 26: Question 4: Empirical treatment is
Page 27: HOW TO PREVENT INVASIVECANDIDIASIS
Page 31 and 32: TREATMENT OF INVASIVECANDIDIASIS
Page 33 and 34: Why do we choose whichantifungal dr
Page 35 and 36: Randomized Non-Inferior TrialsAmB v
Page 37 and 38: Caspofungin vs. Amphotericin B tria
Page 39 and 40: Micafungin vs. L-AmB in ICU Patient
Page 41 and 42: Anidulafungin vs. fluconazole study
Page 43 and 44: Success rates different echinocandi
Page 45 and 46: Question 5: Should the intravascula
Page 47 and 48: Antifungal agents and survivalCandi
Page 49 and 50: In conclusion• Invasive candidias
Page 51 and 52: Treatment of candidemia-Candida spe
Page 53 and 54: Success at EIV treatment by pathoge
Page 55 and 56: Question 6: Should the intravascula
Page 57 and 58: Candida Scorein practiceProspective

Treatment of invasive candidiasis in non-haematological patients

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