Status and Challenge of Antifungal Stewardship at the Osaka Metropolitan University Hospital.
Med Mycol J
; 65(2): 33-38, 2024.
Article
en En
| MEDLINE
| ID: mdl-38825528
ABSTRACT
Antifungal stewardship (AFS), compared with antimicrobial stewardship (AS), requires more advanced knowledge, skills, and multidisciplinary collaboration in its implementation. Therefore, fewer facilities are performing AFS compared with AS. At our hospital, we started AS and AFS in 2014. Our AFS programs include the following i) interventions for patients with yeast-positive blood cultures, ii) introduction of a conditional antifungal notification system, and iii) commencement of AS team rounds. AFS for filamentous fungi includes bronchoscopy and microbial identification, including genetic and drug susceptibility testing. These AFS activities have improved several processes and outcome measures. However, our AFS team has faced several problems owing to the impact of COVID-19. This review introduces the practice of AFS, which we initiated at our hospital in 2014, and presents the current problems.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Programas de Optimización del Uso de los Antimicrobianos
/
Hospitales Universitarios
/
Antifúngicos
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Med Mycol J
Asunto de la revista:
MICROBIOLOGIA
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Japón