Uncommon, or rare, yeast infections are on the rise given increasing numbers of patients who are immunocompromised or seriously ill. The major pathogens include those of the genera Geotrichum, Saprochaete, Magnusiomyces, and Trichosporon (ie, basidiomycetes) and Kodamaea, Malassezia, Pseudozyma (ie, now Moesziomyces or Dirkmeia), Rhodotorula, Saccharomyces, and Sporobolomyces (ie, ascomycetes). A considered approach to the complex, multidisciplinary management of infections that are caused by these pathogens is essential to optimising patient outcomes; however, management guidelines are either region-specific or require updating. In alignment with the One World-One Guideline initiative to incorporate regional differences, experts from diverse geographical regions analysed publications describing the epidemiology and management of the previously mentioned rare yeasts. This guideline summarises the consensus recommendations with regards to the diagnostic and therapeutic options for patients with these rare yeast infections, with the intent of providing practical assistance in clinical decision making. Because there is less clinical experience of patients with rare yeast infections and studies on these patients were not randomised, nor were groups compared, most recommendations are not robust in their validation but represent insights by use of expert opinions and in-vitro susceptibility results. In this Review, we report the key features of the epidemiology, diagnosis, antifungal susceptibility, and treatment outcomes of patients with Geotrichum, Saprochaete, Magnusiomyces, and Trichosporon spp infections.
- MeSH
- antifungální látky terapeutické užití MeSH
- Ascomycota MeSH
- celosvětové zdraví * MeSH
- imunokompromitovaný pacient MeSH
- lidé MeSH
- mitosporické houby MeSH
- mykózy * diagnóza farmakoterapie epidemiologie MeSH
- směrnice jako téma * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- MeSH
- bakteriální endokarditida epidemiologie mortalita MeSH
- financování organizované MeSH
- infekce spojené s protézou epidemiologie MeSH
- infekce spojené se zdravotní péčí epidemiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- prevalence MeSH
- prognóza MeSH
- prospektivní studie MeSH
- registrace MeSH
- senioři MeSH
- srdeční chlopně umělé škodlivé účinky MeSH
- stafylokokové infekce epidemiologie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
Clinical microbiology and infection, ISSN 1198-743X Volume 11, supplement 4, July 2005
68 stran : ilustrace, tabulky ; 28 cm
Clinical microbiology and infection, ISSN 1198-743X Volume 10, supplement 1, March 2004
117 stran : ilustrace ; 28 cm