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Published on: December 28, 2017
Thesaurus for off-label indications for systemic antifungal agents.
A L Bienvenu1, M Aussedat2, F Maldonado3
1Service pharmacie, groupement hospitalier Nord, hospices civils de Lyon, Lyon, France; UMR-CNRS 5246, campus Lyon La Doua, université de Lyon, Lyon, France; Comité des anti-infectieux, hospices civils de Lyon, Lyon, France.
A new thesaurus was created to guide off-label antifungal use, improving clinical practices and controlling prescriptions. This tool aids in managing complex invasive fungal infections.
Area of Science:
- Medical Mycology
- Clinical Pharmacy
- Infectious Diseases
Background:
- Off-label prescriptions for systemic antifungals require careful management to ensure patient safety and optimize treatment outcomes.
- Existing clinical practices lacked a standardized approach for reviewing and approving non-standard antifungal indications.
- The development of this thesaurus was integrated into an existing antifungal stewardship program.
Purpose of the Study:
- To develop a comprehensive thesaurus for off-label indications of systemic antifungals.
- To update clinical practices related to antifungal prescribing.
- To establish a system for controlling and reviewing off-label antifungal use.
Main Methods:
- Analysis of clinical practice guidelines and relevant literature.
- Validation of off-label terminology (prophylaxis, preemptive, empirical, curative) by a multidisciplinary expert group.
- Integration with institutional drug use and anti-infective committees.
Main Results:
- A validated thesaurus detailing off-label antifungal indications, corresponding agents, and supporting references was established.
- The thesaurus was approved by a multidisciplinary group for antifungal agents.
- The initiative supports an ongoing antifungal stewardship program.
Conclusions:
- The developed thesaurus serves as a valuable tool for reviewing off-label antifungal prescriptions.
- Its implementation is crucial for managing complex invasive fungal infections effectively.
- Sharing this resource can enhance consistency and safety in antifungal therapy nationwide.
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