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Invasive fungal diseases in adult patients in intensive care unit (FUNDICU) : 2024 consensus definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM

Matteo Bassetti, Daniele R. Giacobbe, Christina Agvald-Ohman, Murat Akova, Ana Alastruey-Izquierdo, Sevtap Arikan-Akdagli, Elie Azoulay, Stijn Blot (UGent) , Oliver A. Cornely, Manuel Cuenca-Estrella, et al.
(2024) INTENSIVE CARE MEDICINE. 50(4). p.502-515
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Abstract
PurposeThe aim of this document was to develop standardized research definitions of invasive fungal diseases (IFD) in non-neutropenic, adult patients without classical host factors for IFD, admitted to intensive care units (ICUs).MethodsAfter a systematic assessment of the diagnostic performance for IFD in the target population of already existing definitions and laboratory tests, consensus definitions were developed by a panel of experts using the RAND/UCLA appropriateness method.ResultsStandardized research definitions were developed for proven invasive candidiasis, probable deep-seated candidiasis, proven invasive aspergillosis, probable invasive pulmonary aspergillosis, and probable tracheobronchial aspergillosis. The limited evidence on the performance of existing definitions and laboratory tests for the diagnosis of IFD other than candidiasis and aspergillosis precluded the development of dedicated definitions, at least pending further data. The standardized definitions provided in the present document are aimed to speed-up the design, and increase the feasibility, of future comparative research studies.
Keywords
Invasive fungal diseases, Aspergillus, Candida, Consensus, Definitions, Diagnosis, Intensive care unit, Research, PULMONARY ASPERGILLOSIS, CRITICALLY-ILL, INFECTIONS, EPIDEMIOLOGY, MULTICENTER, CANDIDIASIS, MANAGEMENT, DIAGNOSIS, OUTCOMES, PREDICTORS

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MLA
Bassetti, Matteo, et al. “Invasive Fungal Diseases in Adult Patients in Intensive Care Unit (FUNDICU) : 2024 Consensus Definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM.” INTENSIVE CARE MEDICINE, vol. 50, no. 4, 2024, pp. 502–15, doi:10.1007/s00134-024-07341-7.
APA
Bassetti, M., Giacobbe, D. R., Agvald-Ohman, C., Akova, M., Alastruey-Izquierdo, A., Arikan-Akdagli, S., … Italian Soc Anesthesia Analgesia, [missing]. (2024). Invasive fungal diseases in adult patients in intensive care unit (FUNDICU) : 2024 consensus definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM. INTENSIVE CARE MEDICINE, 50(4), 502–515. https://doi.org/10.1007/s00134-024-07341-7
Chicago author-date
Bassetti, Matteo, Daniele R. Giacobbe, Christina Agvald-Ohman, Murat Akova, Ana Alastruey-Izquierdo, Sevtap Arikan-Akdagli, Elie Azoulay, et al. 2024. “Invasive Fungal Diseases in Adult Patients in Intensive Care Unit (FUNDICU) : 2024 Consensus Definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM.” INTENSIVE CARE MEDICINE 50 (4): 502–15. https://doi.org/10.1007/s00134-024-07341-7.
Chicago author-date (all authors)
Bassetti, Matteo, Daniele R. Giacobbe, Christina Agvald-Ohman, Murat Akova, Ana Alastruey-Izquierdo, Sevtap Arikan-Akdagli, Elie Azoulay, Stijn Blot, Oliver A. Cornely, Manuel Cuenca-Estrella, Dylan W. de Lange, Francesco G. De Rosa, Jan De Waele, George Dimopoulos, Jose Garnacho-Montero, Martin Hoenigl, Souha S. Kanj, Philipp Koehler, Bart J. Kullberg, Frederic Lamoth, Cornelia Lass-Floerl, Johan Maertens, Ignacio Martin-Loeches, Patricia Munoz, Garyphallia Poulakou, Jordi Rello, Maurizio Sanguinetti, Fabio S. Taccone, Jean-Francois Timsit, Antoni Torres, Jose A. Vazquez, Joost Wauters, Erika Asperges, Andrea Cortegiani, Cecilia Grecchi, Ilias Karaiskos, Clement Le Bihan, Toine Mercier, Klaus L. Mortensen, Maddalena Peghin, Chiara Rebuffi, Sofia Tejada, Antonio Vena, Valentina Zuccaro, Luigia Scudeller, Thierry Calandra, [missing] Study Grp Infect Critically Ill P, [missing] European Soc Clin Microbiol & I, [missing] Fungal Infect Study Grp Europ, [missing] ESICM, [missing] ECMM, [missing] MSGERC, [missing] ISAC, [missing] ISHAM, [missing] Austrian Soc Med Mycology, and [missing] Italian Soc Anesthesia Analgesia. 2024. “Invasive Fungal Diseases in Adult Patients in Intensive Care Unit (FUNDICU) : 2024 Consensus Definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM.” INTENSIVE CARE MEDICINE 50 (4): 502–515. doi:10.1007/s00134-024-07341-7.
Vancouver
1.
Bassetti M, Giacobbe DR, Agvald-Ohman C, Akova M, Alastruey-Izquierdo A, Arikan-Akdagli S, et al. Invasive fungal diseases in adult patients in intensive care unit (FUNDICU) : 2024 consensus definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM. INTENSIVE CARE MEDICINE. 2024;50(4):502–15.
IEEE
[1]
M. Bassetti et al., “Invasive fungal diseases in adult patients in intensive care unit (FUNDICU) : 2024 consensus definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM,” INTENSIVE CARE MEDICINE, vol. 50, no. 4, pp. 502–515, 2024.
@article{01JAAEN6HDDY01ZBXCMADG5Q6Q,
  abstract     = {{PurposeThe aim of this document was to develop standardized research definitions of invasive fungal diseases (IFD) in non-neutropenic, adult patients without classical host factors for IFD, admitted to intensive care units (ICUs).MethodsAfter a systematic assessment of the diagnostic performance for IFD in the target population of already existing definitions and laboratory tests, consensus definitions were developed by a panel of experts using the RAND/UCLA appropriateness method.ResultsStandardized research definitions were developed for proven invasive candidiasis, probable deep-seated candidiasis, proven invasive aspergillosis, probable invasive pulmonary aspergillosis, and probable tracheobronchial aspergillosis. The limited evidence on the performance of existing definitions and laboratory tests for the diagnosis of IFD other than candidiasis and aspergillosis precluded the development of dedicated definitions, at least pending further data. The standardized definitions provided in the present document are aimed to speed-up the design, and increase the feasibility, of future comparative research studies.}},
  author       = {{Bassetti, Matteo and Giacobbe, Daniele R. and Agvald-Ohman, Christina and Akova, Murat and Alastruey-Izquierdo, Ana and Arikan-Akdagli, Sevtap and Azoulay, Elie and Blot, Stijn and Cornely, Oliver A. and Cuenca-Estrella, Manuel and de Lange, Dylan W. and De Rosa, Francesco G. and De Waele, Jan and Dimopoulos, George and Garnacho-Montero, Jose and Hoenigl, Martin and Kanj, Souha S. and Koehler, Philipp and Kullberg, Bart J. and Lamoth, Frederic and Lass-Floerl, Cornelia and Maertens, Johan and Martin-Loeches, Ignacio and Munoz, Patricia and Poulakou, Garyphallia and Rello, Jordi and Sanguinetti, Maurizio and Taccone, Fabio S. and Timsit, Jean-Francois and Torres, Antoni and Vazquez, Jose A. and Wauters, Joost and Asperges, Erika and Cortegiani, Andrea and Grecchi, Cecilia and Karaiskos, Ilias and Le Bihan, Clement and Mercier, Toine and Mortensen, Klaus L. and Peghin, Maddalena and Rebuffi, Chiara and Tejada, Sofia and Vena, Antonio and Zuccaro, Valentina and Scudeller, Luigia and Calandra, Thierry and Study Grp Infect Critically Ill P, [missing] and European Soc Clin Microbiol & I, [missing] and Fungal Infect Study Grp Europ, [missing] and ESICM, [missing] and ECMM, [missing] and MSGERC, [missing] and ISAC, [missing] and ISHAM, [missing] and Austrian Soc Med Mycology, [missing] and Italian Soc Anesthesia Analgesia, [missing]}},
  issn         = {{0342-4642}},
  journal      = {{INTENSIVE CARE MEDICINE}},
  keywords     = {{Invasive fungal diseases,Aspergillus,Candida,Consensus,Definitions,Diagnosis,Intensive care unit,Research,PULMONARY ASPERGILLOSIS,CRITICALLY-ILL,INFECTIONS,EPIDEMIOLOGY,MULTICENTER,CANDIDIASIS,MANAGEMENT,DIAGNOSIS,OUTCOMES,PREDICTORS}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{502--515}},
  title        = {{Invasive fungal diseases in adult patients in intensive care unit (FUNDICU) : 2024 consensus definitions from ESGCIP, EFISG, ESICM, ECMM, MSGERC, ISAC, and ISHAM}},
  url          = {{http://doi.org/10.1007/s00134-024-07341-7}},
  volume       = {{50}},
  year         = {{2024}},
}
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