我们是否可以为罕见的真菌感染提供指导或仅仅是指导?
Nancy N Vuong1, Dimitrios P Kontoyiannis2
1Division of Pharmacy, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Journal of fungi (Basel, Switzerland)
|September 26, 2025
概括
由于证据有限,对罕见的侵入性真菌感染 (IFI) 的医疗指南可能是不理想的. 作者建议使用"指导"而不是"指导方针",以便在这些复杂的病例中更好地照顾患者.
科学领域:
- 传染性疾病 传染性疾病
- 医学真菌学 医学真菌学
- 临床实践指南 临床实践指南
背景情况:
- 不常见的入侵性真菌感染 (IFI) 的管理存在挑战.
- 有限和低质量的证据使得对罕见国际金融机构的诊断和治疗"黄金标准"的建立变得复杂.
研究的目的:
- 讨论目前罕见FIIs的医疗指南的局限性.
- 建议"指导"可能是一个比"指导方针"更合适的术语,用于管理罕见的IFI.
- 提出有关为罕见国际货币基金组织制定未来建议的问题.
主要方法:
- 这是一篇讨论现有文献和临床挑战的观点文章.
- 对IFI管理的证据基础的分析.
- 概念讨论术语和指导方针的发展.
主要成果:
- 目前对罕见FIIs的指导方针通常基于稀缺的数据,可能导致非最佳或有害的患者管理.
- 准则可能被认为是严格的,阻碍了对罕见FIIs的个性化患者护理.
- 指南可能不经常更新,无法反映当前的治疗环境.
结论:
- 对于罕见的IFI,建议使用"指导方针"比"指导方针"更合适.
- 需要重新考虑对罕见国际货币基金组织 (IFI) 未来建议的构建.
- 强调对罕见FIIs个体患者的批判性检查和细微管理至关重要.
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