title: ECIL-6 guidelines for the treatment of invasive candidiasis, aspergillosis and mucormycosis in leukemia and hematopoietic stem cell transplant patients.
abstract: The European Conference on Infections in Leukemia (ECIL) provides recommendations for diagnostic strategies and prophylactic, pre-emptive or targeted therapy strategies for various types of infection in patients with hematologic malignancies or hematopoietic stem cell transplantation recipients. Meetings are held every two years since 2005 and evidence-based recommendations are elaborated after evaluation of the literature and discussion among specialists of nearly all European countries. In this manuscript, the ECIL group presents the 2015-update of the recommendations for the targeted treatment of invasive candidiasis, aspergillosis and mucormycosis. Current data now allow a very strong recommendation in favor of echinocandins for first-line therapy of candidemia irrespective of the underlying predisposing factors. Anidulafungin has been given the same grading as the other echinocandins for hemato-oncological patients. The beneficial role of catheter removal in candidemia is strengthened.Aspergillusguidelines now recommend the use of either voriconazole or isavuconazole for first-line treatment of invasive aspergillosis, while first-line combination antifungal therapy is not routinely recommended. As only few new data were published since the last ECIL guidelines, no major changes were made to mucormycosis recommendations.
authors.affiliation: Infectious Diseases Service, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Switzerland frederic.tissot@chuv.ch.
authors.forename: Frederic
authors.initials: F
authors.lastname: Tissot
authors.affiliation: Division of Haemato-Oncology, St Bartholomew's Hospital and Blizard Institute, Queen Mary University, London, UK.
authors.forename: Samir
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Hematology, Catholic University of Sacred Heart, Roma, Italy.
authors.forename: Livio
authors.initials: L
authors.lastname: Pagano
authors.affiliation: School of Medicine, European University Cyprus, Engomi, Cyprus.
authors.forename: Georgios
authors.initials: G
authors.lastname: Petrikkos
authors.affiliation: Infectious Disease Research Program, Center for Bone Marrow Transplantation and Department of Pediatric Hematology/Oncology, University Children's Hospital, Münster, Germany.
authors.forename: Andreas H
authors.initials: AH
authors.lastname: Groll
authors.affiliation: 1st Department of Medicine, University of Athens, Greece.
authors.forename: Anna
authors.initials: A
authors.lastname: Skiada
authors.affiliation: Division of Hygiene and Medical Microbiology, Medical University of Innsbruck, Austria.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Lass-Flörl
authors.affiliation: Infectious Diseases Service, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Switzerland.
authors.forename: Thierry
authors.initials: T
authors.lastname: Calandra
authors.affiliation: University of Genova (DISSAL), Infectious Disease Division, IRCCS San Martino-IST, Genova, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Viscoli
authors.affiliation: Oncology and Hematology, Hôpitaux Universitaires de Strasbourg and Université de Strasbourg, France.
authors.forename: Raoul
authors.initials: R
authors.lastname: Herbrecht
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D058365:Candidiasis, Invasive / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D019468:Disease Management; D005060:Europe; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D007938:Leukemia / Q000150:complications* / Q000628:therapy; D009091:Mucormycosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents