Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease

Aspergillosis is a disease caused by the filamentous fungus Aspergillus spp. with a spectrum of clinical presentation that includes invasive and noninvasive forms. The invasive clinical presentation of aspergillosis most frequently affects people with compromised immune systems. In patients with onc...

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Autores principales: Jorge Alberto Cortés, Diego Andrés Rodríguez Lugo, Martha Carolina Valderrama-Ríos, Ricardo Rabagliati, Domênico Capone, Carlos Álvarez, Fabio Varón-Vega, Laura Cristina Nócua-Báez, Cándida Díaz‐Brochero, Leonardo Enciso-Olivera, Sonia Isabel Cuervo, Luis Thompson, Dora Corzo-León, Luis E. Cuéllar, Erika Paola Vergara, Fernando Riera, Patricia Cornejo‐Juárez, Rita Rojas, Beatriz L. Gómez, Adriana Marcela Celis Ramírez, José Luis Sandoval‐Gutiérrez, Mauricio Sarmiento, Diana Lorena Ochoa, Márcio Nucci
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Publicado: 2025
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author Jorge Alberto Cortés
Diego Andrés Rodríguez Lugo
Martha Carolina Valderrama-Ríos
Ricardo Rabagliati
Domênico Capone
Carlos Álvarez
Fabio Varón-Vega
Laura Cristina Nócua-Báez
Cándida Díaz‐Brochero
Leonardo Enciso-Olivera
Sonia Isabel Cuervo
Luis Thompson
Dora Corzo-León
Luis E. Cuéllar
Erika Paola Vergara
Fernando Riera
Patricia Cornejo‐Juárez
Rita Rojas
Beatriz L. Gómez
Adriana Marcela Celis Ramírez
José Luis Sandoval‐Gutiérrez
Mauricio Sarmiento
Diana Lorena Ochoa
Márcio Nucci
author_browse Adriana Marcela Celis Ramírez
Beatriz L. Gómez
Carlos Álvarez
Cándida Díaz‐Brochero
Diana Lorena Ochoa
Diego Andrés Rodríguez Lugo
Domênico Capone
Dora Corzo-León
Erika Paola Vergara
Fabio Varón-Vega
Fernando Riera
Jorge Alberto Cortés
José Luis Sandoval‐Gutiérrez
Laura Cristina Nócua-Báez
Leonardo Enciso-Olivera
Luis E. Cuéllar
Luis Thompson
Martha Carolina Valderrama-Ríos
Mauricio Sarmiento
Márcio Nucci
Patricia Cornejo‐Juárez
Ricardo Rabagliati
Rita Rojas
Sonia Isabel Cuervo
author_facet Jorge Alberto Cortés
Diego Andrés Rodríguez Lugo
Martha Carolina Valderrama-Ríos
Ricardo Rabagliati
Domênico Capone
Carlos Álvarez
Fabio Varón-Vega
Laura Cristina Nócua-Báez
Cándida Díaz‐Brochero
Leonardo Enciso-Olivera
Sonia Isabel Cuervo
Luis Thompson
Dora Corzo-León
Luis E. Cuéllar
Erika Paola Vergara
Fernando Riera
Patricia Cornejo‐Juárez
Rita Rojas
Beatriz L. Gómez
Adriana Marcela Celis Ramírez
José Luis Sandoval‐Gutiérrez
Mauricio Sarmiento
Diana Lorena Ochoa
Márcio Nucci
author_sort Jorge Alberto Cortés
collection Producción científica
description Aspergillosis is a disease caused by the filamentous fungus Aspergillus spp. with a spectrum of clinical presentation that includes invasive and noninvasive forms. The invasive clinical presentation of aspergillosis most frequently affects people with compromised immune systems. In patients with oncohematologic pathology, invasive lung aspergillosis is a significant opportunistic mycosis, because it occurs frequently and has a major impact on morbidity, mortality, and high costs. The global problem of antimicrobial resistance, to which improper use of antifungals contributes, has put Aspergilus spp. in the spotlight, so it is important to generate guidelines for guidance in the proper use of antifungals in the management of invasive lung aspergillosis, to obtain better clinical outcomes and promote rational use of antifungals. This guideline contains recommendations for diagnosing and treating invasive lung aspergillosis in patients with oncohematologic disease, based on evidence and defined through a participatory process of expert consensus, for the Latin American context.
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spelling oai:cris.upeu.edu.pe:20.500.15037/7592026-10-30T16:14:49ZEvidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic diseaseJorge Alberto CortésDiego Andrés Rodríguez LugoMartha Carolina Valderrama-RíosRicardo RabagliatiDomênico CaponeCarlos ÁlvarezFabio Varón-VegaLaura Cristina Nócua-BáezCándida Díaz‐BrocheroLeonardo Enciso-OliveraSonia Isabel CuervoLuis ThompsonDora Corzo-LeónLuis E. CuéllarErika Paola VergaraFernando RieraPatricia Cornejo‐JuárezRita RojasBeatriz L. GómezAdriana Marcela Celis RamírezJosé Luis Sandoval‐GutiérrezMauricio SarmientoDiana Lorena OchoaMárcio NucciAspergillosisContext (archaeology)GuidelineIntensive care medicineMedicineDiseaseImmunologyPathologyBiologyPaleontologyAspergillosisContext (archaeology)GuidelineIntensive care medicineMedicineDiseaseImmunologyPathologyBiologyAntifungal Agents therapeutic useAntifungal Agents therapeutic useAntifungal Agents therapeutic useAntifungal Agents therapeutic useAntifungal Agents therapeutic useHumansHumansHumansHumansHumansImmunocompromised HostImmunocompromised HostImmunocompromised HostImmunocompromised HostImmunocompromised HostEvidence-Based MedicineEvidence-Based MedicineEvidence-Based MedicineEvidence-Based Medicine standardsEvidence-Based Medicine standardsHematologic Neoplasms complicationsHematologic Neoplasms complicationsHematologic Neoplasms complicationsHematologic Neoplasms complicationsHematologic Neoplasms complicationsHematologic Neoplasms immunologyHematologic Neoplasms immunologyInvasive Pulmonary Aspergillosis diagnosisInvasive Pulmonary Aspergillosis diagnosisInvasive Pulmonary Aspergillosis diagnosisInvasive Pulmonary Aspergillosis diagnosisInvasive Pulmonary Aspergillosis diagnosisInvasive Pulmonary Aspergillosis drug therapyInvasive Pulmonary Aspergillosis drug therapyInvasive Pulmonary Aspergillosis drug therapyInvasive Pulmonary Aspergillosis drug therapyInvasive Pulmonary Aspergillosis drug therapyInvasive Pulmonary Aspergillosis immunologyInvasive Pulmonary Aspergillosis immunologyInvasive Pulmonary Aspergillosis microbiologyInvasive Pulmonary Aspergillosis microbiologyHealth Sciences Medicine Infectious Diseases Antifungal resistance and susceptibilityHealth Sciences Medicine Epidemiology Fungal Infections and StudiesHealth Sciences Veterinary Small Animals Infectious Diseases and MycologyAspergillosis is a disease caused by the filamentous fungus Aspergillus spp. with a spectrum of clinical presentation that includes invasive and noninvasive forms. The invasive clinical presentation of aspergillosis most frequently affects people with compromised immune systems. In patients with oncohematologic pathology, invasive lung aspergillosis is a significant opportunistic mycosis, because it occurs frequently and has a major impact on morbidity, mortality, and high costs. The global problem of antimicrobial resistance, to which improper use of antifungals contributes, has put Aspergilus spp. in the spotlight, so it is important to generate guidelines for guidance in the proper use of antifungals in the management of invasive lung aspergillosis, to obtain better clinical outcomes and promote rational use of antifungals. This guideline contains recommendations for diagnosing and treating invasive lung aspergillosis in patients with oncohematologic disease, based on evidence and defined through a participatory process of expert consensus, for the Latin American context.Articlehttps://pubmed.ncbi.nlm.nih.gov/39999620https://doi.org/10.1016/j.bjid.2025.10451710.1016/j.bjid.2025.104517https://hdl.handle.net/20.500.15037/759W4407882346enThe Brazilian Journal of Infectious Diseases1413-86701678-43912025-02-242026-06-13T09:34:19Z2026-06-13T09:34:19Z
spellingShingle Aspergillosis
Context (archaeology)
Guideline
Intensive care medicine
Medicine
Disease
Immunology
Pathology
Biology
Paleontology
Aspergillosis
Context (archaeology)
Guideline
Intensive care medicine
Medicine
Disease
Immunology
Pathology
Biology
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Humans
Humans
Humans
Humans
Humans
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Evidence-Based Medicine
Evidence-Based Medicine
Evidence-Based Medicine
Evidence-Based Medicine standards
Evidence-Based Medicine standards
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms immunology
Hematologic Neoplasms immunology
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis immunology
Invasive Pulmonary Aspergillosis immunology
Invasive Pulmonary Aspergillosis microbiology
Invasive Pulmonary Aspergillosis microbiology
Health Sciences Medicine Infectious Diseases Antifungal resistance and susceptibility
Health Sciences Medicine Epidemiology Fungal Infections and Studies
Health Sciences Veterinary Small Animals Infectious Diseases and Mycology
Jorge Alberto Cortés
Diego Andrés Rodríguez Lugo
Martha Carolina Valderrama-Ríos
Ricardo Rabagliati
Domênico Capone
Carlos Álvarez
Fabio Varón-Vega
Laura Cristina Nócua-Báez
Cándida Díaz‐Brochero
Leonardo Enciso-Olivera
Sonia Isabel Cuervo
Luis Thompson
Dora Corzo-León
Luis E. Cuéllar
Erika Paola Vergara
Fernando Riera
Patricia Cornejo‐Juárez
Rita Rojas
Beatriz L. Gómez
Adriana Marcela Celis Ramírez
José Luis Sandoval‐Gutiérrez
Mauricio Sarmiento
Diana Lorena Ochoa
Márcio Nucci
Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
title Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
title_full Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
title_fullStr Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
title_full_unstemmed Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
title_short Evidence-based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
title_sort evidence based clinical standard for the diagnosis and treatment of invasive lung aspergillosis in the patient with oncohematologic disease
topic Aspergillosis
Context (archaeology)
Guideline
Intensive care medicine
Medicine
Disease
Immunology
Pathology
Biology
Paleontology
Aspergillosis
Context (archaeology)
Guideline
Intensive care medicine
Medicine
Disease
Immunology
Pathology
Biology
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Humans
Humans
Humans
Humans
Humans
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Evidence-Based Medicine
Evidence-Based Medicine
Evidence-Based Medicine
Evidence-Based Medicine standards
Evidence-Based Medicine standards
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms immunology
Hematologic Neoplasms immunology
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis immunology
Invasive Pulmonary Aspergillosis immunology
Invasive Pulmonary Aspergillosis microbiology
Invasive Pulmonary Aspergillosis microbiology
Health Sciences Medicine Infectious Diseases Antifungal resistance and susceptibility
Health Sciences Medicine Epidemiology Fungal Infections and Studies
Health Sciences Veterinary Small Animals Infectious Diseases and Mycology
topic_facet Aspergillosis
Context (archaeology)
Guideline
Intensive care medicine
Medicine
Disease
Immunology
Pathology
Biology
Paleontology
Aspergillosis
Context (archaeology)
Guideline
Intensive care medicine
Medicine
Disease
Immunology
Pathology
Biology
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Antifungal Agents therapeutic use
Humans
Humans
Humans
Humans
Humans
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Immunocompromised Host
Evidence-Based Medicine
Evidence-Based Medicine
Evidence-Based Medicine
Evidence-Based Medicine standards
Evidence-Based Medicine standards
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms complications
Hematologic Neoplasms immunology
Hematologic Neoplasms immunology
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis diagnosis
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis drug therapy
Invasive Pulmonary Aspergillosis immunology
Invasive Pulmonary Aspergillosis immunology
Invasive Pulmonary Aspergillosis microbiology
Invasive Pulmonary Aspergillosis microbiology
Health Sciences Medicine Infectious Diseases Antifungal resistance and susceptibility
Health Sciences Medicine Epidemiology Fungal Infections and Studies
Health Sciences Veterinary Small Animals Infectious Diseases and Mycology
url https://pubmed.ncbi.nlm.nih.gov/39999620
https://doi.org/10.1016/j.bjid.2025.104517
https://hdl.handle.net/20.500.15037/759
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