title: The current treatment landscape: the need for antifungal stewardship programmes.
abstract: There is increasing evidence supporting the need for antifungal stewardship (AFS) programmes in order to promote appropriate antifungal use, improve diagnosis and quality of care, and decrease the costs of antifungal treatment. AFS programmes delivered by experienced teams can be efficacious and cost effective. However, there are a variety of challenges often faced during the implementation of AFS programmes which can present barriers to their success. These can include lack of dedicated personnel, lack of investment in new diagnostic and prescription tools, and misperception by other physicians.
authors.affiliation: Clinical Microbiology and Infectious Disease Division, Hospital General Universitario Gregorio Marañón, Madrid, Spain pmunoz@micro.hggm.es.|Instituto de Investigación Sanitaria Hospital Gregorio Marañón, Madrid, Spain.|CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain.|Medicine Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: Muñoz
authors.affiliation: Clinical Microbiology and Infectious Disease Division, Hospital General Universitario Gregorio Marañón, Madrid, Spain.|Instituto de Investigación Sanitaria Hospital Gregorio Marañón, Madrid, Spain.|CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain.|Medicine Department, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
authors.forename: Emilio
authors.initials: E
authors.lastname: Bouza
mesh_terms: D000935:Antifungal Agents / Q000191:economics / Q000627:therapeutic use*; D003365:Costs and Cost Analysis; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data; D009181:Mycoses / Q000175:diagnosis* / Q000188:drug therapy*; D056687:Off-Label Use / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011787:Quality of Health Care
chemical_list: D000935:Antifungal Agents