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Intensivmedizin up2date 2013; 09(03): 205-216
DOI: 10.1055/s-0033-1344581
DOI: 10.1055/s-0033-1344581
Allgemeine Prinzipien der Intensivmedizin
Invasive Pilzinfektionen
Further Information
Publication History
Publication Date:
14 August 2013 (online)
![](https://www.thieme-connect.de/media/intensiv-u2d/201303/lookinside/thumbnails/10.1055-s-0033-1344581-1.jpg)
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Invasive Pilzinfektionen nehmen bei intensivmedizinisch therapierten Patienten zu.
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Die Sterblichkeit ist trotz neuer antimykotischer Therapieoptionen hoch.
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Besondere Bedeutung hat eine frühzeitige Diagnostik, zumal die Letalität bei verzögertem Therapiebeginn stark ansteigt.
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Zur Therapie der invasiven Candidose sollte man leitlinienkonform Echinocandine als Mittel der Wahl einsetzen.
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Da sich der definitive Erregernachweis oft schwierig gestaltet, sollte man bei kritisch kranken, hämodynamisch instabilen Patienten mit Risikofaktoren für eine invasive Pilzinfektion eine kalkulierte Therapie in Erwägung ziehen.
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