Chen, Sharon C-A, Perfect, John, Colombo, Arnaldo L., Cornely, Oliver A., Groll, Andreas H., Seidel, Danila, Albus, Kerstin, de Almedia, Joao Nobrega, Jr., Garcia-Effron, Guillermo, Gilroy, Nicole, Lass-Floerl, Cornelia, Ostrosky-Zeichner, Luis, Pagano, Livio, Papp, Tamas, Rautemaa-Richardson, Riina, Salmanton-Garcia, Jon, Spec, Andrej ORCID: 0000-0001-7612-4710, Steinmann, Joerg, Arikan-Akdagli, Sevtap, Arenz, Dorothee E., Sprute, Rosanne ORCID: 0000-0003-2457-6437, Duran-Graeff, Luisa, Freiberger, Tomas, Girmenia, Corrado, Harris, Michelle, Kanj, Souha S., Roudbary, Maryam, Lortholary, Olivier, Meletiadis, Joseph, Segal, Esther, Tuon, Felipe Francisco, Wiederhold, Nathan, Bicanic, Tihana, Chander, Jagdish, Chen, Yee-Chun, Hsueh, Po-Ren, Ip, Margaret ORCID: 0000-0003-1291-6537, Munoz, Patricia, Spriet, Isabel, Temfack, Elvis, Thompson, Luis, Tortorano, Anna Maria, Velegraki, Aristea and Govender, Nelesh P. (2021). Global guideline for the diagnosis and management of rare yeast infections: an initiative of the ECMM in cooperation with ISHAM and ASM. Lancet Infect. Dis., 21 (12). S. E375 - 12. OXFORD: ELSEVIER SCI LTD. ISSN 1474-4457

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Abstract

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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Chen, Sharon C-AUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Perfect, JohnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Colombo, Arnaldo L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cornely, Oliver A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Groll, Andreas H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seidel, DanilaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Albus, KerstinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Almedia, Joao Nobrega, Jr.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Garcia-Effron, GuillermoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gilroy, NicoleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lass-Floerl, CorneliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ostrosky-Zeichner, LuisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pagano, LivioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Papp, TamasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rautemaa-Richardson, RiinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Salmanton-Garcia, JonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spec, AndrejUNSPECIFIEDorcid.org/0000-0001-7612-4710UNSPECIFIED
Steinmann, JoergUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arikan-Akdagli, SevtapUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arenz, Dorothee E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sprute, RosanneUNSPECIFIEDorcid.org/0000-0003-2457-6437UNSPECIFIED
Duran-Graeff, LuisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freiberger, TomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Girmenia, CorradoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Harris, MichelleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kanj, Souha S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roudbary, MaryamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lortholary, OlivierUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meletiadis, JosephUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Segal, EstherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tuon, Felipe FranciscoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wiederhold, NathanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bicanic, TihanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chander, JagdishUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chen, Yee-ChunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hsueh, Po-RenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ip, MargaretUNSPECIFIEDorcid.org/0000-0003-1291-6537UNSPECIFIED
Munoz, PatriciaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spriet, IsabelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Temfack, ElvisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thompson, LuisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tortorano, Anna MariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Velegraki, AristeaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Govender, Nelesh P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-607959
DOI: 10.1016/S1473-3099(21)00203-6
Journal or Publication Title: Lancet Infect. Dis.
Volume: 21
Number: 12
Page Range: S. E375 - 12
Date: 2021
Publisher: ELSEVIER SCI LTD
Place of Publication: OXFORD
ISSN: 1474-4457
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ANTIFUNGAL SUSCEPTIBILITY PROFILE; GEOTRICHUM-CANDIDUM INFECTION; DESORPTION IONIZATION-TIME; LIPOSOMAL AMPHOTERICIN-B; INVASIVE FUNGAL DISEASES; BLOOD-STREAM INFECTIONS; SAPROCHAETE-CAPITATA; SPECIES DISTRIBUTION; TRICHOSPORON-ASAHII; ARTHROCONIDIAL YEASTSMultiple languages
Infectious DiseasesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60795

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