Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review
Intra-abdominal candidiasis (IAC), with or without candidemia, is a common condition in patients in intensive care units (ICUs). Early diagnosis of IAC remains a challenge for clinicians despite new biomarkers. Early and appropriate antifungal treatment, which is associated with better clinical outc...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-05-01
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| Series: | Journal of Fungi |
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| Online Access: | https://www.mdpi.com/2309-608X/11/5/362 |
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| author | Marco Marotta Pais Rafael Zaragoza Ignacio Martín-Loeches Frederic F. Gómez-Bertomeu Alejandro Rodríguez |
| author_facet | Marco Marotta Pais Rafael Zaragoza Ignacio Martín-Loeches Frederic F. Gómez-Bertomeu Alejandro Rodríguez |
| author_sort | Marco Marotta Pais |
| collection | DOAJ |
| description | Intra-abdominal candidiasis (IAC), with or without candidemia, is a common condition in patients in intensive care units (ICUs). Early diagnosis of IAC remains a challenge for clinicians despite new biomarkers. Early and appropriate antifungal treatment, which is associated with better clinical outcomes, is negatively affected by the increased isolation of non-albicans <i>Candida</i> strains that are resistant to the commonly used azoles and echinocandins. Based on the pharmacokinetic (PK) and pharmacodynamic (PD) properties of the different treatment options, liposomal amphotericin B, rezafungin or high doses of anidulafungin appear to be the most appropriate first-line options for complicated IAC in ICUs. |
| format | Article |
| id | doaj-art-371c3ffd7a4e4834a512db0a01396237 |
| institution | OA Journals |
| issn | 2309-608X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Fungi |
| spelling | doaj-art-371c3ffd7a4e4834a512db0a013962372025-08-20T01:56:16ZengMDPI AGJournal of Fungi2309-608X2025-05-0111536210.3390/jof11050362Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative ReviewMarco Marotta Pais0Rafael Zaragoza1Ignacio Martín-Loeches2Frederic F. Gómez-Bertomeu3Alejandro Rodríguez4Critical Care Department, Hospital Universitari de Tarragona Joan XXIII, Mallafré Guasch 4, 43007 Tarragona, SpainCritical Care Department, Hospital Universitario Dr. Peset, Av. Gaspar Aguilar 90, 46017 Valencia, SpainDepartment of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St James’ Hospital, D08 NHY1 Dublin, IrelandDepartment of Medicine and Surgery, Faculty of Medicine and Health Sciences, Rovira & Virgili University, 43005 Tarragona, SpainCritical Care Department, Hospital Universitari de Tarragona Joan XXIII, Mallafré Guasch 4, 43007 Tarragona, SpainIntra-abdominal candidiasis (IAC), with or without candidemia, is a common condition in patients in intensive care units (ICUs). Early diagnosis of IAC remains a challenge for clinicians despite new biomarkers. Early and appropriate antifungal treatment, which is associated with better clinical outcomes, is negatively affected by the increased isolation of non-albicans <i>Candida</i> strains that are resistant to the commonly used azoles and echinocandins. Based on the pharmacokinetic (PK) and pharmacodynamic (PD) properties of the different treatment options, liposomal amphotericin B, rezafungin or high doses of anidulafungin appear to be the most appropriate first-line options for complicated IAC in ICUs.https://www.mdpi.com/2309-608X/11/5/362invasive candidiasisantifungal treatmentdiagnosisoutcome |
| spellingShingle | Marco Marotta Pais Rafael Zaragoza Ignacio Martín-Loeches Frederic F. Gómez-Bertomeu Alejandro Rodríguez Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review Journal of Fungi invasive candidiasis antifungal treatment diagnosis outcome |
| title | Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review |
| title_full | Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review |
| title_fullStr | Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review |
| title_full_unstemmed | Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review |
| title_short | Management of Intra-Abdominal Candidiasis in Intensive Care Setting: A Narrative Review |
| title_sort | management of intra abdominal candidiasis in intensive care setting a narrative review |
| topic | invasive candidiasis antifungal treatment diagnosis outcome |
| url | https://www.mdpi.com/2309-608X/11/5/362 |
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