[Mycologic surveillance of the environment for preventive invasive aspergillosis. Proposals for standardization of the methodologies and implementation].
A MAJOR RISK: The infection of immunodepressed patients by Aspergillus-type fungi increases morbidity and mortality, particularly in hematology units or during solid organ transplantation. Although present diagnostic means benefit from the progress over the last years, they remain limited and chemoprophylaxis protocols have still not demonstrated significant efficacy. THE NEED FOR RECOMMENDATIONS: Today, the handling of environmental risks is the only strategy that has proved its efficacy and usefulness. On the basis of administrative recommendations and data from the literature, a multicentric and pluri-disciplinary task force, grouping clinicians, microbiologists and hygienists, has assessed different methods and has proposed recommendations for the standardization and optimization of fungal surveillance of the environment.
Gangneux
J P
JP
CHU de Rennes, Collège hospitalo-universitaire et professionnel de la Société Française d'Hématologie 2-Hôpital Saint-Antoine, Paris, France.
Poirot
J L
JL
Morin
O
O
Derouin
F
F
Bretagne
S
S
Datry
A
A
Kauffmann-Lacroix
C
C
Paugam
A
A
Chandenier
J
J
Bouakline
A
A
Bordes
M
M
Chachaty
E
E
Dupeyron
C
C
Grawey
I
I
Lecso
G
G
Lortholary
J
J
Mourlhou
P
P
Nesa
D
D
Saheb
F
F
Cornet
M
M
Vimont
A M
AM
Cordonnier
C
C
D000391:Air Microbiology; D001228:Aspergillosis / Q000517:prevention & control* / Q000635:transmission; D003428:Cross Infection / Q000517:prevention & control* / Q000635:transmission; D004784:Environmental Monitoring; D005602:France; D006284:Health Plan Implementation; D006757:Hospital Units; D006801:Humans; D009894:Opportunistic Infections / Q000517:prevention & control* / Q000635:transmission; D010348:Patient Care Team; D012307:Risk Factors