IDSA News - February 2009
Volume 19 Issue 2  (Plain Text Version)

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In this issue:
Top Stories
•  Candidiasis Guidelines Updated
•  IDSA Journal Club
From the President
•  Vaccine Science Prevails
Patient Care and Science
•  EIN Considers Alternatives to Acyclovir During Shortage
•  Updated Rotavirus Recommendations Include New Vaccine
•  ACIP Changes Recommendations for Anthrax, Hepatitis A Vaccines
•  Drug Approvals, Recalls, Adverse Events Update
Practice Management
•  CMS Sending Clinicians Reports on their Medicare Costs
•  How to Put Health IT to Work in Your Practice
Policy and Advocacy
•  Federal HAI Prevention Plan is “Important First Step”
•  Stimulus Funding May Go Toward ID Research, HIV/AIDS Prevention
•  HIVMA Urges Medicare to Cover Treatment of Facial Lipodystrophy
•  Advocacy Update: IDSA Expresses Concern About State Lyme Disease Bills
Education and Training
•  SHEA Offers California Epidemiology Course
You and Your Colleagues
•  Welcome New IDSA Members!

 

Candidiasis Guidelines Updated

New guidelines for the management of candidiasis are now available online. The guidelines provide updated data on the appropriate use of echinocandins and expanded spectrum azoles in the management of candidemia and mucosal candidiasis.

New guidelines for the management of candidiasis provide updated data on the appropriate use of echinocandins and expanded spectrum azoles in the management of candidemia and mucosal candidiasis.   

The guidelines recommend echinocandin for patients with moderate to severe illness or those who have had recent azole exposure. However, azoles should not be used for empirical therapy in patients who have received an azole for prophylaxis. 

Early initiation of effective antifungal therapy is crucial in the successful treatment of candidemia.  Fluconazole continues to be the standard therapy for patients with candidemia and should be considered as the first-line of treatment for mild to moderate conditions.  

Preferred treatments for osteoarticular, CNS, vulvovaginal, and urinary tract infections candidiasis were also addressed throughout the document.

The guidelines’ performance measures emphasize that all patients with candidemia should undergo dilated ophthalmological evaluation.  This process helps determine whether or not patients with endophthalmitis need surgery or local therapy.  Antifungal therapy should also be performed on all patients with candidemia within 24 hours after a positive blood culture followed by systemic antifungal therapy.  Blood cultures should be obtained daily until the condition is no longer present. 

The candidiasis guidelines are available online. Other IDSA guidelines also are available on the Standards, Practice Guidelines, and Statements page of IDSA's website.