European guidelines for primary antifungal prophylaxis in adult
haematology patients: summary of the updated recommendations
from the European Conference on Infections in Leukaemia

J 2018

European guidelines for primary antifungal prophylaxis in adult haematology patients: summary of the updated recommendations from the European Conference on Infections in Leukaemia

MAERTENS, J.A., C. GIRMENIA, R.J. BRÜGGEMANN, R.F. DUARTE, C.C. KIBBLER et. al.

Základní údaje

Originální název

European guidelines for primary antifungal prophylaxis in adult haematology patients: summary of the updated recommendations from the European Conference on Infections in Leukaemia

Autoři

MAERTENS, J.A. (56 Belgie, garant), C. GIRMENIA (380 Itálie), R.J. BRÜGGEMANN (528 Nizozemské království), R.F. DUARTE (724 Španělsko), C.C. KIBBLER (826 Velká Británie a Severní Irsko), P. LJUNGMAN (752 Švédsko), Zdeněk RÁČIL (203 Česká republika, domácí), P. RIBAUD (250 Francie), M.A. SLAVIN (36 Austrálie), O.A. CORNELY (276 Německo), Peter J. DONNELLY (528 Nizozemské království) a C. CORDONNIER (250 Francie)

Vydání

Journal of Antimicrobial Chemotherapy, Oxford, Oxford University Press, 2018, 0305-7453

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30104 Pharmacology and pharmacy

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 5.113

Kód RIV

RIV/00216224:14110/18:00104699

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1093/jac/dky286

UT WoS

000452916600002

Klíčová slova anglicky

antifungal prophylaxis

Štítky

14110212, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 9. 2. 2019 22:51, Soňa Böhmová

Anotace

V originále

The European Conference on Infections in Leukaemia (ECIL) updated its guidelines on antifungal prophylaxis for adults using the grading system of IDSA. The guidelines were extended to provide recommendations for other haematological diseases besides AML and recipients of an allogeneic haematopoietic stem cell transplantation (HSCT). Posaconazole remains the drug of choice when the incidence of invasive mould diseases exceeds 8%. For patients undergoing remission-induction chemotherapy for AML and myelodysplastic syndrome (MDS), fluconazole can still offer an alternative provided it forms part of an integrated care strategy that includes screening with biomarkers and imaging. Similarly, aerosolized liposomal amphotericin B combined with fluconazole can be considered for patients at high risk of invasive mould diseases but other formulations of the polyene are discouraged. Fluconazole is still recommended as primary prophylaxis for patients at low risk of invasive mould diseases during the pre-engraftment phase of allogeneic HSCT whereas only a moderate recommendation could be made for itraconazole, posaconazole and voriconazole for patients at high risk. Posaconazole is strongly recommended for preventing invasive mould disease post-engraftment but only when graft-versus-host disease (GvHD) was accompanied by other risk factors such as its severity, use of an alternative donor or when unresponsive to standard corticosteroid therapy. The need for primary prophylaxis for other patient groups was less clear and should be defined by the estimated risk of invasive fungal disease (IFD).

Citovat

MAERTENS, J.A., C. GIRMENIA, R.J. BRÜGGEMANN, R.F. DUARTE, C.C. KIBBLER, P. LJUNGMAN, Zdeněk RÁČIL, P. RIBAUD, M.A. SLAVIN, O.A. CORNELY, Peter J. DONNELLY a C. CORDONNIER. European guidelines for primary antifungal prophylaxis in adult haematology patients: summary of the updated recommendations from the European Conference on Infections in Leukaemia. Journal of Antimicrobial Chemotherapy. Oxford: Oxford University Press, 2018, roč. 73, č. 12, s. 3221-3230. ISSN 0305-7453. Dostupné z: https://dx.doi.org/10.1093/jac/dky286.

@article{1473187,
   author = {Maertens, J.A. and Girmenia, C. and Brüggemann, R.J. and Duarte, R.F. and Kibbler, C.C. and Ljungman, P. and Ráčil, Zdeněk and Ribaud, P. and Slavin, M.A. and Cornely, O.A. and Donnelly, Peter J. and Cordonnier, C.},
   article_location = {Oxford},
   article_number = {12},
   doi = {http://dx.doi.org/10.1093/jac/dky286},
   keywords = {antifungal prophylaxis},
   language = {eng},
   issn = {0305-7453},
   journal = {Journal of Antimicrobial Chemotherapy},
   title = {European guidelines for primary antifungal prophylaxis in adult haematology patients: summary of the updated recommendations from the European Conference on Infections in Leukaemia},
   volume = {73},
   year = {2018}
}

TY  - JOUR
ID  - 1473187
AU  - Maertens, J.A. - Girmenia, C. - Brüggemann, R.J. - Duarte, R.F. - Kibbler, C.C. - Ljungman, P. - Ráčil, Zdeněk - Ribaud, P. - Slavin, M.A. - Cornely, O.A. - Donnelly, Peter J. - Cordonnier, C.
PY  - 2018
TI  - European guidelines for primary antifungal prophylaxis in adult haematology patients: summary of the updated recommendations from the European Conference on Infections in Leukaemia
JF  - Journal of Antimicrobial Chemotherapy
VL  - 73
IS  - 12
SP  - 3221-3230
EP  - 3221-3230
PB  - Oxford University Press
SN  - 03057453
KW  - antifungal prophylaxis
N2  - The European Conference on Infections in Leukaemia (ECIL) updated its guidelines on antifungal prophylaxis for adults using the grading system of IDSA. The guidelines were extended to provide recommendations for other haematological diseases besides AML and recipients of an allogeneic haematopoietic stem cell transplantation (HSCT). Posaconazole remains the drug of choice when the incidence of invasive mould diseases exceeds 8%. For patients undergoing remission-induction chemotherapy for AML and myelodysplastic syndrome (MDS), fluconazole can still offer an alternative provided it forms part of an integrated care strategy that includes screening with biomarkers and imaging. Similarly, aerosolized liposomal amphotericin B combined with fluconazole can be considered for patients at high risk of invasive mould diseases but other formulations of the polyene are discouraged. Fluconazole is still recommended as primary prophylaxis for patients at low risk of invasive mould diseases during the pre-engraftment phase of allogeneic HSCT whereas only a moderate recommendation could be made for itraconazole, posaconazole and voriconazole for patients at high risk. Posaconazole is strongly recommended for preventing invasive mould disease post-engraftment but only when graft-versus-host disease (GvHD) was accompanied by other risk factors such as its severity, use of an alternative donor or when unresponsive to standard corticosteroid therapy. The need for primary prophylaxis for other patient groups was less clear and should be defined by the estimated risk of invasive fungal disease (IFD).
ER  -

MAERTENS, J.A., C. GIRMENIA, R.J. BRÜGGEMANN, R.F. DUARTE, C.C. KIBBLER, P. LJUNGMAN, Zdeněk RÁČIL, P. RIBAUD, M.A. SLAVIN, O.A. CORNELY, Peter J. DONNELLY a C. CORDONNIER. European guidelines for primary antifungal prophylaxis in adult haematology patients: summary of the updated recommendations from the European Conference on Infections in Leukaemia. \textit{Journal of Antimicrobial Chemotherapy}. Oxford: Oxford University Press, 2018, roč.~73, č.~12, s.~3221-3230. ISSN~0305-7453. Dostupné z: https://dx.doi.org/10.1093/jac/dky286.

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