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Rev Esp Quimioter ; 30(6): 397-406, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29115366

RESUMO

Given the growing incidence of invasive candidiasis in critically ill and haemato-oncological patients and its poor outcomes, an early diagnosis and treatment are need for get a better prognosis. This document reviews the current ap-proaches that help in diagnosis of invasive candidiasis based on culture-independent microbiological tests. The combination of clinical prediction scores with fungal serological markers could facilitate the approach in antifungal therapy, optimiz-ing it. This article also reviews the epidemiology and primary risk factors for invasive candidiasis in these patients, updating the therapeutic approach algorithms in both clinical contexts based on the main evidence and international guidelines.


Assuntos
Antifúngicos/uso terapêutico , Candidíase Invasiva/tratamento farmacológico , Candidíase Invasiva/diagnóstico , Candidíase Invasiva/microbiologia , Estado Terminal , Infecção Hospitalar , Diagnóstico Precoce , Neoplasias Hematológicas/complicações , Humanos
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