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Resumen

Candidemia is one of the most frequent opportunistic mycoses worldwide. Limited epidemiologicalstudies in Latin America indicate that incidence rates are higher in this region than in the NorthernHemisphere. Diagnosis is often made late in the infection, affecting the initiation of antifungal therapy.A more scientific approach, based on specific parameters, for diagnosis and management of candidemiain Latin America is warranted.‘Recommendations for the diagnosis and management of candidemia’ are a series of manuscripts thathave been developed by members of the Latin America Invasive Mycosis Network. They aim to providea set of best-evidence recommendations for the diagnosis and management of candidemia.This publication, ‘Recommendations for the management of candidemia in adults in Latin America’, waswritten to provide guidance to healthcare professionals on the management of adults who have, or whoare at risk of, candidemia.Computerized searches of existing literature were performed by PubMed. The data were extensivelyreviewed and analyzed by members of the group. The group also met on two occasions to pose questions,discuss conflicting views, and deliberate on a series of management recommendations.‘Recommendations for the management of candidemia in adults in Latin America’ includes prophylaxis,empirical therapy, therapy for proven candidemia, patient work-up following diagnosis of candidemia,duration of candidemia treatment, and central venous catheter management in patients with candidemia.This manuscript is the second of this series that deals with diagnosis and treatment of invasive candidiasis.Other publications in this series include: ‘Recommendations for the diagnosis of candidemia inLatin America’, ‘Recommendations for the management of candidemia in children in Latin America’, and‘Recommendations for the management of candidemia in neonates in Latin America’.Nota general

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Autor: Nucci, Marcio; - Thompson Moya, Luis; - Guzman Blanco, Manuel; - Tiraboschi, Iris Nora; - Cortes, Jorge Alberto; - Echevarría, J

Fuente: http://repositorio.uchile.cl/



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