医学
重症监护医学
侵袭性念珠菌病
皮肤病科
抗真菌
氟康唑
出处
期刊:PubMed
日期:2020-01-01
卷期号:59 (1): 5-17
被引量:4
标识
DOI:10.3760/cma.j.issn.0578-1426.2020.01.002
摘要
In this consensus we mainly present the etiology, epidemiology, risk factors, microbiology, clinical diagnosis and general principles of treatment, as well as the detailed diagnosis and treatment of common candidiasis. Though mucocutaneous candidiasis such as oral, esophageal and vulvovaginal infections are known as non-invasive diseases, they are included in this consensus, considering their high prevalence and the potential to be the source of systematic infections.In order to be accordant with the practical situation in China, new technologies and drugs that have not been well developed or routinely applied are not recommended in this consensus. As to the differences from foreign guidelines, we address the explanations. Individualized treatment and management should be administrated based on the specific underlying conditions, organism distribution and drug resistance profile of Candida species.本共识主要包括念珠菌病的病原学、流行病学、危险因素、病原学诊断、临床诊断与治疗总则,以及各种常见念珠菌病的诊断与治疗细则。皮肤、黏膜念珠菌病,特别是口咽部、食管、阴道等局部感染虽然不属于侵袭性念珠菌病,但临床较为常见,又常为侵袭性念珠菌病的感染源,抑或受累器官,故本共识将其纳入。本共识暂不纳入国内尚未常规开展和应用的新技术及药物,对有别于国外指南之处,也给予相关观点表述。由于各种念珠菌病临床表现各异,各医院的菌种及耐药性也各不相同,故临床治疗应结合患者的具体情况进行个体化选择。.
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