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Sedik, S; Wolfgruber, S; Hoenigl, M; Kriegl, L.
Diagnosing fungal infections in clinical practice: a narrative review.
Expert Rev Anti Infect Ther. 2024; 22(11):935-949
Doi: 10.1080/14787210.2024.2403017
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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Hönigl Martin
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Kriegl Lisa
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Sedik Sarah
- Co-authors Med Uni Graz
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Wolfgruber Stella
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- Abstract:
- BACKGROUND: Invasive fungal infections (IFI) present a major medical challenge, with an estimated 6.5 million cases annually, resulting in 3.8 million deaths. Pathogens such as Aspergillus spp. Candida spp. Mucorales spp. Cryptococcus spp. and other fungi species contribute to these infections, posing risks to immunocompromised individuals. Early and accurate diagnosis is crucial for effective treatment and better patient outcomes. AREAS COVERED: This narrative review provides an overview of the current methods and challenges associated with diagnosing fungal diseases, including invasive aspergillosis and invasive candidiasis, as well as rare and endemic fungal infections. Various diagnostic techniques, including microscopy, culture, molecular diagnostics, and serological tests, are reviewed, highlighting their respective advantages and limitations and role in clinical guidelines. To illustrate, the need for improved diagnostic strategies to overcome existing challenges, such as the low sensitivity and specificity of current tests and the time-consuming nature of traditional culture-based methods, is addressed. EXPERT OPINION: Current advancements in fungal infection diagnostics have significant implications for healthcare outcomes. Improved strategies like molecular testing and antigen detection promise early detection of fungal pathogens, enhancing patient management. Challenges include global access to advanced technologies and the need for standardized, user-friendly point-of-care diagnostics to improve diagnosis of fungal infections globally.
- Find related publications in this database (using NLM MeSH Indexing)
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Humans - administration & dosage
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Invasive Fungal Infections - diagnosis, microbiology
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Sensitivity and Specificity - administration & dosage
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Molecular Diagnostic Techniques - administration & dosage
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Immunocompromised Host - administration & dosage
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Practice Guidelines as Topic - administration & dosage
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Candidiasis, Invasive - diagnosis, drug therapy, microbiology
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Mycoses - diagnosis, microbiology
- Find related publications in this database (Keywords)
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Diagnostic gold standard
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invasive fungal infections
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mold infections
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yeast infections
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microscopy
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culture
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PCR
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antigen biomarkers