A consensus document for the clinical management of invasive fungal diseases in pediatric patients with hematologic cancer and/or undergoing hematopoietic stem cell transplantation in Brazilian medical centers

Autor: Lauro José Gregianin, Fabianne Carlesse, Henrique Manoel Lederman, Sandra Regina Loggetto, Arnaldo Lopes Colombo, Liane Esteves Daudt, Carmem Bonfim, Marjorie Vieira Batista, Maria Lucia de Martino Lee, Carla Renata Pacheco Donato Macedo, Eliana Benites, Analy Salles de Azevedo Melo, Álvaro Pimenta Dutra, Marcelo Luiz Abramczyk, Belinda Pinto Simões, Cláudio Galvão de Castro Junior, Adriana Seber, Vivian Siqueira Tostes
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Repositório Institucional da UFRGS
Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
Brazilian Journal of Infectious Diseases v.23 n.6 2019
Brazilian Journal of Infectious Diseases
Brazilian Society of Infectious Diseases (BSID)
instacron:BSID
Brazilian Journal of Infectious Diseases, Vol 23, Iss 6, Pp 395-409 (2019)
Brazilian Journal of Infectious Diseases, Volume: 23, Issue: 6, Pages: 395-409, Published: 14 FEB 2020
Popis: In the present paper we summarize the suggestions of a multidisciplinary group including experts in pediatric oncology and infectious diseases who reviewed the medical literature to elaborate a consensus document (CD) for the diagnosis and clinical management of invasive fungal diseases (IFDs) in children with hematologic cancer and those who underwent hematopoietic stem-cell transplantation. All major multicenter studies designed to characterize the epidemiology of IFDs in children with cancer, as well as all randomized clinical trials addressing empirical and targeted antifungal therapy were reviewed. In the absence of randomized clinical trials, the best evidence available to support the recommendations were selected. Algorithms for early diagnosis and best clinical management of IFDs are also presented. This document summarizes practical recommendations that will certainly help pediatricians to best treat their patients suffering of invasive fungal diseases. Keywords: Fungal infections, Children, Cancer
Databáze: OpenAIRE