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[Invasive fungal infections in ICU patients - What's New?]

Matthias Kochanek1,2,3, Philipp Köhler1,2,4

  • 1Klinik I für Innere Medizin, Uniklinik Köln.

Deutsche Medizinische Wochenschrift (1946)
|March 29, 2021
PubMed

Insights

Invasive fungal infections are a growing concern in intensive care, especially in critically ill patients with acute respiratory distress syndrome (ARDS) from influenza or COVID-19. Early detection and tailored treatment are crucial for improving patient outcomes.

Area of Science:

  • Critical care medicine
  • Infectious diseases
  • Mycology

Background:

  • Invasive fungal infections (IFIs) pose a significant and increasing threat in intensive care units (ICUs).
  • Recent outbreaks highlight the association between IFIs and severe respiratory illnesses like influenza and COVID-19.

Purpose of the Study:

  • To provide an updated overview of recent advancements in managing IFIs in critically ill patients.
  • To focus on emerging invasive mold infections in patients with acute respiratory distress syndrome (ARDS).

Main Methods:

  • Review of current literature and clinical guidelines.
  • Analysis of recent case reports and epidemiological data related to IFIs in ARDS patients.

Main Results:

  • Invasive mold infections are increasingly recognized in patients with influenza- and COVID-19-associated ARDS.
  • Identification of specific patient populations at higher risk for IFIs is essential.

Conclusions:

  • Optimal diagnostic and therapeutic strategies are critical for improving the prognosis of IFIs in the ICU.
  • Prompt recognition and management of high-risk patients can significantly impact outcomes.

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