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Infection

, Volume 42, Issue 2, pp 263–279 | Cite as

An Italian consensus for invasive candidiasis management (ITALIC)

  • L. ScudellerEmail author
  • C. Viscoli
  • F. Menichetti
  • V. del Bono
  • F. Cristini
  • C. Tascini
  • M. Bassetti
  • P. Viale
Review

Abstract

Introduction

Invasive candidiasis (IC) has primarily been studied in intensive care unit (ICU) patients, although, in reality, a vast majority of these infections occur outside of the ICU. The recent publication of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) guidelines also deal with the non-ICU population, but many uncertainties remain on the management of IC, particularly in non-critically ill patients.

Methods

The Italian Society of Antimicrobial Therapy, Società Italiana di Terapia Antimicrobica (SITA), produced practical, hospital-wide recommendations on the management of Candida infection in non-immunocompromised patients in the hospital ward.

Results and discussion

Our focus is on patient stratification in terms of risk factors for IC and of clinical severity, emphasising a high index of suspicion to ensure early diagnosis, early treatment and de-escalation when a patient is clinically stable, in order to optimise resource allocation.

Keywords

Invasive candidiasis Diagnosis Management Risk stratification Clinical severity Review Consensus Recommendations 

Notes

Acknowledgements

We thank Federico Pea and Maurizio Sanguinetti for their important contributions to the discussion of the recommendations.

Conflict of interest

This work, including travel and meeting expenses, was funded by an unrestricted grant by MSD Italia Srl. The sponsor had no role in selecting the participants, reviewing the literature, defining recommendations, drafting or reviewing the paper, or in the decision to submit the manuscript for publication. All views expressed are solely those of the authors. All authors have completed the International Committee of Medical Journal Editors (ICMJE) form, which is available upon request.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • L. Scudeller
    • 1
    Email author
  • C. Viscoli
    • 2
  • F. Menichetti
    • 3
  • V. del Bono
    • 2
  • F. Cristini
    • 4
  • C. Tascini
    • 3
  • M. Bassetti
    • 5
  • P. Viale
    • 4
  1. 1.Clinical Epidemiology Unit, Scientific DirectionIRCCS Policlinico San Matteo FoundationPaviaItaly
  2. 2.Clinic of Infectious Diseases, IRCCS San Martino-ISTUniversity of GenuaGenoaItaly
  3. 3.Infectious Disease DepartmentCisanello HospitalPisaItaly
  4. 4.Infectious Diseases Unit, Teaching Hospital Policlinico S. Orsola-Malpighi Alma Mater StudiorumUniversity of BolognaBolognaItaly
  5. 5.Infectious Diseases DivisionSanta Maria della Misericordia University HospitalUdineItaly

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