scholarly journals Fungal infections in the intensive care unit? Another approach for defining a target group of patients who benefit from implementing preemptive antimycotic treatment

Critical Care ◽  
2007 ◽  
Vol 11 (Suppl 2) ◽  
pp. P111
Author(s):  
M Geube ◽  
S Milanov ◽  
G Georgiev
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Fungal Infections ◽  
Target Group ◽  
Antimycotic Treatment

Invasive fungal infections in the intensive care unit: a multicentre, prospective, observational study in Italy (2006-2008)

Mycoses ◽  
2011 ◽  
Vol 55 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Anna Maria Tortorano ◽  
Giovanna Dho ◽  
Anna Prigitano ◽  
Giuseppe Breda ◽  
Anna Grancini ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Fungal Infections ◽  
Invasive Fungal Infections

Study of fungal infections in pediatric intensive care unit in Menoufiya University Hospital

2014 ◽  
Vol 27 (1) ◽  
pp. 55
Author(s):  
NagwanY. Saleh ◽  
FadyM. ElGendy ◽  
FahimaM. Hassan ◽  
AhmedA. Khatab ◽  
GhadaR. El-Hendawy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Fungal Infections ◽  
Pediatric Intensive Care ◽  
University Hospital

scholarly journals Fatal Case of Fungemia by Wickerhamomyces anomalus in a Pediatric Patient Diagnosed in a Teaching Hospital from Brazil

2020 ◽  
Vol 6 (3) ◽  
pp. 147
Author(s):  
Vitor Rodrigues Dutra ◽  
Leonardo Francisco Silva ◽  
Adriana Nazaré Miziara Oliveira ◽  
Emília Freitas Beirigo ◽  
Vanessa Mello Arthur ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Fungal Infections ◽  
Ductus Arteriosus ◽  
Fatal Case ◽  
Previous History ◽  
Medical Diagnostics ◽  
Clinical State ◽  
Its Sequencing ◽  
Wickerhamomyces Anomalus

In recent decades, emerging fungal infections have changed the clinical mycology scenario as a consequence of the advances in medical diagnostics and therapeutic procedures, long hospitalization times, and the growing number of individuals with debilitating chronic diseases and impaired immune systems. This report presents a 19 months old Brazilian female patient who developed a severe fungal sepsis by an uncommon yeast. She was admitted at the intensive care unit with severe pneumonia, bronchopulmonary dysplasia, and weight-for-age z score of less than −2. She remained more than 30 days in the intensive care unit where she had a femoral venous catheter placement, enteral nutrition, broad-spectrum antibiotic therapy, and prophylaxis with fluconazole. Moreover, pericardiocentesis was performed due to cardiac tamponade. She had a previous history of prematurity, cardiac surgery due to patent ductus arteriosus, and a long period of hospital stay. Despite the antifungal prophylaxis, two yeast isolates were recovered from blood and then identified by classical mycological methods and internal transcribed spacer (ITS) sequencing as Wickerhamomyces anomalus. Both isolates exhibited susceptibility to amphotericin B, ketoconazole, itraconazole, voriconazole, and fluconazole. Her clinical state worsened, presenting anasarca, epistaxis, and hemorrhagic suffusions in the mouth, sclera, oliguria, and bradycardia. Two days after the first positive culture, she presented a gradual reduction of the white blood cells count, with severe leukopenia and neutropenia. She died five days after.

COVID-19 aus Sicht der Intensivmedizin

2020 ◽  
Vol 145 (15) ◽  
pp. 1057-1062
Author(s):  
Stephanie-Susanne Stecher ◽  
Hans Joachim Stemmler ◽  
Dennis Eichenauer ◽  
Matthias Kochanek ◽  
Alexander Shimabukuro-Vornhagen ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Best Practice ◽  
Fungal Infections ◽  
Clinical Situation ◽  
Treatment Modalities ◽  
Invasive Ventilation ◽  
Intensive Care Patients ◽  
Inflammatory Parameters ◽  
The Individual

AbstractApprox. 93 % of COVID-19 infections are mild, and not all severely ill patients are transferred to the intensive care unit. But the Corona crisis implies high demands on intensive care medicine. Many treatment modalities of COVID patients are “best practice”, but some aspects remain unclear at present. This article deals with diagnostics, monitoring and therapy with COVID-19 patients in intensive care units and with a suitable hygiene concepts.A hygiene concept is obligatory and must ensure – in addition to general measures – the training of employees and the hygienic discharge of material. Ideally, a cohort isolation is implemented.Monitoring of patients with COVID-19 is not different from other intensive care patients and should be adapted to the clinical situation of the individual patient. In laboratory analysis the typical abnormality of COVID-19 patients should be taken into account. In case of increasing inflammatory parameters, fungal infections should be tested.Due to the formation of aerosols, disconnection of the respiratory system must be avoided in invasive ventilation. If a disconnection from the respirator is necessary, the tube should be disconnected. After extubation, an intermittent NIV treatment for atelectase prophylaxis can be performed.

scholarly journals INVASIVE FUNGAL INFECTIONS IN INTENSIVE CARE UNIT

Mycoses ◽  
2002 ◽  
Vol 45 (S2) ◽  
pp. 20-21
Author(s):  
S. Giordano ◽  
P. Carlo ◽  
M. Gangi ◽  
C. Martelletti ◽  
A. Mazzola ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Fungal Infections ◽  
Invasive Fungal Infections
Sign in / Sign up

Export Citation Format

Share Document