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Evidence-based clinical standard for the diagnosis and treatment of candidemia in critically ill patients in the intensive care unit

  • Jorge Alberto Cortés
  • , Martha Carolina Valderrama-Rios
  • , Paula M. Peçanha-Pietrobom
  • , Moacyr Silva Júnior
  • , Cándida Diaz-Brochero
  • , Rafael Ricardo Robles-Torres
  • , Carmelo José Espinosa-Almanza
  • , Laura Cristina Nocua-Báez
  • , Marcio Nucci
  • , Carlos Arturo Álvarez-Moreno
  • , Flavio Queiroz-Telles
  • , Ricardo Rabagliati
  • , Rita Rojas-Fermín
  • , Jorge L. Finquelievich
  • , Fernando Riera
  • , Patricia Cornejo-Juárez
  • , Dora E. Corzo-León
  • , Luis E. Cuéllar
  • , Jeannete Zurita
  • , Augusto Raúl Hernández
  • Arnaldo Lopes Colombo
  • Universidad Nacional de Colombia
  • Hospital Universitario Nacional de Colombia
  • Universidade Federal de São Paulo
  • Hospital Israelita Albert Einstein
  • Universidade Federal do Rio de Janeiro
  • Organización Keralty - EPS Sánitas
  • Universidade Federal do Paraná
  • Pontificia Universidad Católica de Chile
  • Hospital General de la Plaza de la Salud
  • Universidad de Buenos Aires
  • Sanatorio Allende
  • Universidad Nacional de Córdoba
  • Instituto Nacional de Cancerologia - Mexico
  • University of Exeter
  • Instituto Nacional de Enfermedades Neoplasicas
  • Pontificia Universidad Católica del Ecuador
  • Unidad de Investigaciones en Biomedicina
  • Pacífica Salud
  • Antimicrobial Resistance Institute of São Paulo (ARIES)

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Candidemia is the predominant form of invasive candidiasis and the most frequently occurring serious fungal infection in critically ill patients in Intensive Care Units (ICU). Studies carried out in Latin America reveal a higher incidence of candidemia and higher mortality rates when compared to North America or Europe. This highlights the need to develop guidelines for correctly diagnosing and treating candidemia in critically ill patients in the ICU. These guidelines are part of the efforts to implement antifungal optimization programs in the region to obtain better clinical outcomes and promote rational antifungal use. This evidence-based clinical standard, established through expert consensus for the Latin American context, contains recommendations and algorithms for diagnosing and treating candidemia in critically ill ICU patients.

Original languageEnglish
Article number104495
JournalThe Brazilian Journal of Infectious Diseases
Volume29
Issue number1
DOIs
StatePublished - 01 Jan 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Antifungals
  • Candidemia
  • Critical illness
  • Intensive care units
  • Latin America

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