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Invasive candidiasis and candidaemia in neonates and children: update on current guidelines
Athanasios Tragiannidis1, Christos Tsoulas, Andreas H Groll
1Hematology Oncology Unit, 2nd Pediatric Department, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece.
Insights
Invasive candidiasis (IC) and candidaemia remain serious threats to immunocompromised children. This review summarizes international guidelines for managing and preventing these serious fungal infections in pediatric patients.
Area of Science:
- Medical Mycology
- Pediatric Infectious Diseases
Background:
- Invasive candidiasis (IC) and candidaemia are significant causes of illness and death in immunocompromised children and ICU patients.
- Despite advances, high mortality and economic costs persist for these fungal infections.
Purpose of the Study:
- To review and synthesize current international guidelines for managing and preventing IC and candidaemia in pediatric populations.
- To provide a consolidated resource for healthcare professionals treating invasive fungal infections in neonates and children.
Main Methods:
- Systematic review of guidelines from major international medical societies.
- Comparative analysis of recommendations for diagnosis, treatment, and prevention of IC/candidaemia in children.
Main Results:
- Key recommendations from IDSA, ECIAL, ESCMID, and DMS/GMSPG are summarized.
- Guidelines cover diagnosis, antifungal therapy, and preventative strategies tailored for pediatric patients.
Conclusions:
- Adherence to updated guidelines is crucial for improving outcomes in pediatric invasive candidiasis and candidaemia.
- Standardized management approaches can reduce mortality and the burden of these infections in vulnerable children.
Abstract:
Invasive candidiasis (IC) and candidaemia are leading causes of infectious morbidity and mortality among immunocompromised paediatric patients and those admitted to intensive care units. Despite improvements in diagnosis, prevention and treatment, both mortality rates and the economic burden of disease still remain high. To address this issue, several international societies and organisations have proposed guidelines for the management of IC/candidaemia in both neonates and children. In this article, we review current recommendations of the Infectious Diseases Society of America, the European Conference on Infection in Leukaemia, the European Society of Clinical Microbiology and Infectious Diseases and the German Speaking Mycological Society/Paul-Ehrlich Society for Chemotherapy for the management and prevention of IC/candidaemia in children and neonates.
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