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Management of Invasive Pulmonary Aspergillosis in Intensive Care Units : Guidelines From the Fungal Infection Network of Switzerland (FUNGINOS)

Title: Management of Invasive Pulmonary Aspergillosis in Intensive Care Units : Guidelines From the Fungal Infection Network of Switzerland (FUNGINOS)
Authors: Lamoth, F; Albrich, W C; Ragozzino, S; Bosetti, Davide; Delaloye, J; El Khoury, C; Munting, A; Portillo, V; Reinhold, I; Sumer, J; Zbinden, A; Bättig, V; Beigelman-Aubry, C; Boggian, K; Conen, A; Fischer, T S; Garzoni, C; Goldenberger, D; Hofmann, E; Khafagy, P; Kern, L; Kleger, G R; Le Terrier, Christophe; Marchetti, O; Pagani, J L; Rupp, N J; Schreiber, P W; Siegemund, M; Kadgien, F; Neofytos, Dionysios; Khanna, N; Fungal Infection Network of Switzerland (FUNGINOS)
Contributors: Bergeron, Anne; Landis, Basile Nicolas; Riat, Arnaud
Source: ISSN: 0933-7407 ; Mycoses, vol. 68, no. 11 (2025) e70132.
Publication Year: 2025
Collection: Université de Genève: Archive ouverte UNIGE
Subject Terms: info:eu-repo/classification/ddc/616.8; info:eu-repo/classification/ddc/616; info:eu-repo/classification/ddc/617; Antifungal therapy; Aspergillus; Cirrhosis; Coronavirus; Critical care; Critically ill; Flu; Tracheobronchitis; Humans; Invasive Pulmonary Aspergillosis / diagnosis; Invasive Pulmonary Aspergillosis / drug therapy; Invasive Pulmonary Aspergillosis / epidemiology; Intensive Care Units; Antifungal Agents / therapeutic use; Switzerland / epidemiology
Description: Invasive pulmonary aspergillosis (IPA) is increasingly recognised in intensive care units (ICU) affecting not only patients with classical immunosuppressive conditions but also other severely ill patients, including those with respiratory viral infections (influenza, COVID-19), advanced chronic obstructive pulmonary disease or acute and chronic liver diseases. Several expert panels have proposed definitions of IPA in different ICU settings. However, practical recommendations for its diagnostic and therapeutic approaches are scarce. Moreover, these approaches can be influenced by different parameters that may vary across countries including the case mix of ICU patients, the incidence of IPA, the prevalence of azole resistance and the availability of diagnostic tests and antifungal drugs. For these reasons, the Fungal Infection Network of Switzerland (FUNGINOS) has appointed a panel of different specialists to develop a practical guideline for the management of IPA in ICU. This article provides the executive summary of the panel conclusions and recommendations regarding the epidemiology, diagnosis, definitions and therapy of IPA in ICU.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/41311305; unige:190206
Availability: https://archive-ouverte.unige.ch/unige:190206
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.2DD736B3
Database: BASE