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Published on: July 1, 2020
Invasive fungal infections in solid organ transplant recipients
1Infectious Diseases Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Abstract:
Solid organ transplant (SOT) recipients have a significant risk of invasive fungal diseases (IFD) caused mainly by Candida spp. and Aspergillus spp. Candida spp. is the most frequent agent of IFD in the transplant recipient. The absence of clinical trials and the epidemiological differences in IFD in different transplant programmes mean that there are no definitive recommendations for the diagnosis, treatment and prevention of IFD in SOT, so most of the evidence must be based on clinical experience.
Insights
Solid organ transplant recipients face high risks of invasive fungal diseases (IFD), primarily from Candida and Aspergillus species. Definitive IFD guidelines are lacking, necessitating reliance on clinical experience for management.
Area of Science:
- Medical Mycology
- Transplant Infectious Diseases
Background:
- Solid organ transplant (SOT) recipients are a vulnerable population.
- Invasive fungal diseases (IFD) pose a significant threat to SOT recipients.
Purpose of the Study:
- To highlight the epidemiology and challenges in managing IFD in SOT recipients.
- To underscore the need for evidence-based guidelines for IFD in SOT.
Main Methods:
- Review of current literature and clinical practices regarding IFD in SOT.
- Analysis of common fungal pathogens, including Candida spp. and Aspergillus spp.
Main Results:
- Candida spp. are the most common cause of IFD in SOT recipients.
- Significant epidemiological variations exist across different transplant programs.
- Lack of robust clinical trials limits definitive treatment and prevention recommendations.
Conclusions:
- IFD management in SOT recipients currently relies heavily on clinical expertise.
- Further research and clinical trials are crucial for developing standardized IFD protocols.
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