Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium.

dc.contributor.author

Donnelly, J Peter

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Chen, Sharon C

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Kauffman, Carol A

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Steinbach, William J

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Baddley, John W

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Verweij, Paul E

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Clancy, Cornelius J

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Wingard, John R

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Lockhart, Shawn R

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Groll, Andreas H

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Sorrell, Tania C

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Bassetti, Matteo

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Akan, Hamdi

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Alexander, Barbara D

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Andes, David

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Azoulay, Elie

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Bialek, Ralf

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Bradsher, Robert W

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Bretagne, Stephane

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Calandra, Thierry

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Caliendo, Angela M

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Castagnola, Elio

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Cruciani, Mario

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Cuenca-Estrella, Manuel

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Decker, Catherine F

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Desai, Sujal R

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Fisher, Brian

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Harrison, Thomas

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Heussel, Claus Peter

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Jensen, Henrik E

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Kibbler, Christopher C

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Kontoyiannis, Dimitrios P

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Kullberg, Bart-Jan

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Lagrou, Katrien

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Lamoth, Frédéric

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Lehrnbecher, Thomas

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Loeffler, Jurgen

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Lortholary, Olivier

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Maertens, Johan

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Marchetti, Oscar

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Marr, Kieren A

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Masur, Henry

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Meis, Jacques F

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Morrisey, C Orla

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Nucci, Marcio

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Ostrosky-Zeichner, Luis

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Pagano, Livio

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Patterson, Thomas F

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Perfect, John R

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Racil, Zdenek

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Roilides, Emmanuel

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Ruhnke, Marcus

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Prokop, Cornelia Schaefer

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Shoham, Shmuel

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Slavin, Monica A

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Stevens, David A

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Thompson, George R

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Vazquez, Jose A

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Viscoli, Claudio

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Walsh, Thomas J

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Warris, Adilia

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Wheat, L Joseph

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White, P Lewis

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Zaoutis, Theoklis E

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Pappas, Peter G

dc.date.accessioned

2022-10-03T11:06:11Z

dc.date.available

2022-10-03T11:06:11Z

dc.date.issued

2020-09

dc.date.updated

2022-10-03T11:06:10Z

dc.description.abstract

Background

Invasive fungal diseases (IFDs) remain important causes of morbidity and mortality. The consensus definitions of the Infectious Diseases Group of the European Organization for Research and Treatment of Cancer and the Mycoses Study Group have been of immense value to researchers who conduct clinical trials of antifungals, assess diagnostic tests, and undertake epidemiologic studies. However, their utility has not extended beyond patients with cancer or recipients of stem cell or solid organ transplants. With newer diagnostic techniques available, it was clear that an update of these definitions was essential.

Methods

To achieve this, 10 working groups looked closely at imaging, laboratory diagnosis, and special populations at risk of IFD. A final version of the manuscript was agreed upon after the groups' findings were presented at a scientific symposium and after a 3-month period for public comment. There were several rounds of discussion before a final version of the manuscript was approved.

Results

There is no change in the classifications of "proven," "probable," and "possible" IFD, although the definition of "probable" has been expanded and the scope of the category "possible" has been diminished. The category of proven IFD can apply to any patient, regardless of whether the patient is immunocompromised. The probable and possible categories are proposed for immunocompromised patients only, except for endemic mycoses.

Conclusions

These updated definitions of IFDs should prove applicable in clinical, diagnostic, and epidemiologic research of a broader range of patients at high-risk.
dc.identifier

5645434

dc.identifier.issn

1058-4838

dc.identifier.issn

1537-6591

dc.identifier.uri

https://hdl.handle.net/10161/26028

dc.language

eng

dc.publisher

Oxford University Press (OUP)

dc.relation.ispartof

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

dc.relation.isversionof

10.1093/cid/ciz1008

dc.subject

Humans

dc.subject

Mycoses

dc.subject

Neoplasms

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Antifungal Agents

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Consensus

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Immunocompromised Host

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Invasive Fungal Infections

dc.title

Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium.

dc.type

Journal article

duke.contributor.orcid

Alexander, Barbara D|0000-0001-5868-0529

duke.contributor.orcid

Perfect, John R|0000-0002-6606-9460|0000-0003-3465-5518

pubs.begin-page

1367

pubs.end-page

1376

pubs.issue

6

pubs.organisational-group

Duke

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School of Medicine

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Faculty

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Basic Science Departments

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Clinical Science Departments

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Molecular Genetics and Microbiology

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Medicine

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Pathology

pubs.organisational-group

Medicine, Infectious Diseases

pubs.publication-status

Published

pubs.volume

71

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