期刊
WORLD JOURNAL OF GASTROENTEROLOGY
卷 22, 期 34, 页码 7742-7747出版社
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v22.i34.7742
关键词
Cirrhosis; Critically ill patient; Spontaneous fungal peritonitis; Life-threatening infections; Fungal ascitis; Nosocomial spontaneous peritonitis
Spontaneous bacterial peritonitis is a complication of ascitic patients with end-stage liver disease (ESLD); spontaneous fungal peritonitis (SFP) is a complication of ESLD less known and described. ESLD is associated to immunodepression and the resulting increased susceptibility to infections. Recent perspectives of the management of the critically ill patient with ESLD do not specify the rate of isolation of fungi in critically ill patients, not even the antifungals used for the prophylaxis, neither optimal treatment. We reviewed, in order to focus the epidemiology, characteristics, and, considering the high mortality rate of SFP, the use of optimal empirical antifungal therapy the current literature.
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