Fourth European Conference on Infections in Leukaemia (ECIL-4): guidelines for diagnosis, prevention, and treatment of invasive fungal diseases in paediatric patients with cancer or allogeneic haemopoietic stem-cell transplantation

Summary Invasive opportunistic fungal diseases (IFDs) are important causes of morbidity and mortality in paediatric patients with cancer and those who have had an allogeneic haemopoietic stem-cell transplantation (HSCT). Apart from differences in underlying disorders and comorbidities relative to th...

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Veröffentlicht in:The lancet oncology 2014-07, Vol.15 (8), p.e327-e340
Hauptverfasser: Groll, Andreas H, Prof, Castagnola, Elio, Prof, Cesaro, Simone, Prof, Dalle, Jean-Hugues, MD, Engelhard, Dan, Prof, Hope, William, Prof, Roilides, Emmanuel, Prof, Styczynski, Jan, Prof, Warris, Adilia, MD, Lehrnbecher, Thomas, Prof
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container_title The lancet oncology
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creator Groll, Andreas H, Prof
Castagnola, Elio, Prof
Cesaro, Simone, Prof
Dalle, Jean-Hugues, MD
Engelhard, Dan, Prof
Hope, William, Prof
Roilides, Emmanuel, Prof
Styczynski, Jan, Prof
Warris, Adilia, MD
Lehrnbecher, Thomas, Prof
description Summary Invasive opportunistic fungal diseases (IFDs) are important causes of morbidity and mortality in paediatric patients with cancer and those who have had an allogeneic haemopoietic stem-cell transplantation (HSCT). Apart from differences in underlying disorders and comorbidities relative to those of adults, IFDs in infants, children, and adolescents are unique with respect to their epidemiology, the usefulness of diagnostic methods, the pharmacology and dosing of antifungal agents, and the absence of interventional phase 3 clinical trials for guidance of evidence-based decisions. To better define the state of knowledge on IFDs in paediatric patients with cancer and allogeneic HSCT and to improve IFD diagnosis, prevention, and management, the Fourth European Conference on Infections in Leukaemia (ECIL-4) in 2011 convened a group that reviewed the scientific literature on IFDs and graded the available quality of evidence according to the Infectious Diseases Society of America grading system. The final considerations and recommendations of the group are summarised in this manuscript.
doi_str_mv 10.1016/S1470-2045(14)70017-8
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Apart from differences in underlying disorders and comorbidities relative to those of adults, IFDs in infants, children, and adolescents are unique with respect to their epidemiology, the usefulness of diagnostic methods, the pharmacology and dosing of antifungal agents, and the absence of interventional phase 3 clinical trials for guidance of evidence-based decisions. To better define the state of knowledge on IFDs in paediatric patients with cancer and allogeneic HSCT and to improve IFD diagnosis, prevention, and management, the Fourth European Conference on Infections in Leukaemia (ECIL-4) in 2011 convened a group that reviewed the scientific literature on IFDs and graded the available quality of evidence according to the Infectious Diseases Society of America grading system. 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subjects Adolescent
Antifungal Agents - therapeutic use
Cancer
Child
Child, Preschool
Disease prevention
Drug dosages
Epidemiology
Hematology, Oncology and Palliative Medicine
Hematopoietic Stem Cell Transplantation - adverse effects
Humans
Infant
Leukemia - complications
Mortality
Mycoses - diagnosis
Mycoses - drug therapy
Mycoses - epidemiology
Mycoses - etiology
Mycoses - prevention & control
Opportunistic Infections - diagnosis
Opportunistic Infections - drug therapy
Opportunistic Infections - epidemiology
Opportunistic Infections - etiology
Opportunistic Infections - prevention & control
Regulatory approval
Risk factors
Transplantation, Homologous
title Fourth European Conference on Infections in Leukaemia (ECIL-4): guidelines for diagnosis, prevention, and treatment of invasive fungal diseases in paediatric patients with cancer or allogeneic haemopoietic stem-cell transplantation
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