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- Title
Status and Challenge of Antifungal Stewardship at the Osaka Metropolitan University Hospital.
- Authors
Koichi Yamada; Hiroshi Kakeya
- Abstract
Antifungal stewardship (AFS), compared with antimicrobial stewardship (AS). requires more advanced knowledge, skills, and multidisciplinary collaboration iii 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 ofAS 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.
- Subjects
ANTIMICROBIAL stewardship; TASK shifting; URBAN hospitals; FILAMENTOUS fungi; UNIVERSITY hospitals
- Publication
Medical Mycology Journal, 2024, Vol 65, Issue 2, p33
- ISSN
2185-6486
- Publication type
Article
- DOI
10.3314/mmj.24.003