The European respiratory journal, 2017-09, Vol.50 (3), p.1700532-1700532
2017
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Details
- Autor(en) / Beteiligte
- Titel
- Which algorithm diagnoses invasive pulmonary aspergillosis best in ICU patients with COPD?
- Ist Teil von
- The European respiratory journal, 2017-09, Vol.50 (3), p.1700532-1700532
- Ort / Verlag
- England: European Respiratory Society Journals Ltd
- Erscheinungsjahr
- 2017
- Quelle
- Free E-Journal (出版社公開部分のみ）
- Beschreibungen/Notizen
- Invasive pulmonary aspergillosis (IPA) is a potentially lethal opportunistic infection, mainly affecting immunocompromised patients, particularly those with prolonged neutropenia [1]. Several reports have shown that Aspergillus spp. can also cause IPA in patients with a priori less severe immune dysfunction, such as those in intensive care units (ICUs) [2–5] or with chronic obstructive pulmonary disease (COPD) [5–8]. In these patients, diagnosis of IPA remains a challenge, because the reference diagnostic criteria (defined by the European Organization for Research and Treatment of Cancer/Mycosis Study Group (EORTC/MSG)) were developed for research in high-risk patients and not specifically for patients in the ICU or patients with COPD [9]. Two alternative algorithms have been proposed for this setting: the COPD algorithm for patients with COPD [6] and the Clinical algorithm for patients in the ICU [10].
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0903-1936, 1399-3003eISSN: 1399-3003DOI: 10.1183/13993003.00532-2017Titel-ID: cdi_liege_orbi_v2_oai_orbi_ulg_ac_be_2268_245126
- Format
- –
- Schlagworte
- Algorithms, Anesthesia & intensive care, Anesthésie & soins intensifs, Aspergillosis, Aspergillus - isolation & purification, Cancer, Chronic obstructive pulmonary disease, Female, Fungal infections, Glucocorticoids - therapeutic use, Human health sciences, Humans, Immunocompromised hosts, Intensive Care Units, Invasive Pulmonary Aspergillosis - complications, Invasive Pulmonary Aspergillosis - diagnosis, Invasive Pulmonary Aspergillosis/complications/diagnosis, Invasiveness, Lung - diagnostic imaging, Lung - microbiology, Lung - pathology, Lung diseases, Lung/diagnostic imaging/microbiology/pathology, Male, Middle Aged, Mycosis, Neutropenia, Obstructive lung disease, Opportunist infection, Pulmonary Disease, Chronic Obstructive - complications, Pulmonary Disease, Chronic Obstructive - diagnosis, Pulmonary Disease, Chronic Obstructive - therapy, Pulmonary Disease, Chronic Obstructive/complications/diagnosis/therapy, Radiography, Thoracic - methods, Reproducibility of Results, Respiration, Artificial - methods, Respiratory Insufficiency - etiology, Respiratory Insufficiency - therapy, Respiratory Insufficiency/etiology/therapy, Risk groups, Sciences de la santé humaine