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.

Mycoses
|October 29, 2014
PubMed

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.

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