Challenges Facing Antimicrobial Stewardship Programs in the Endemic Region for Coccidioidomycosis.
antifungal agents
antifungal stewardship
antimicrobial stewardship
coccidioidomycosis
diagnostic stewardship
Journal
Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045
Informations de publication
Date de publication:
Jun 2024
Jun 2024
Historique:
received:
09
11
2023
accepted:
23
01
2024
medline:
18
6
2024
pubmed:
18
6
2024
entrez:
18
6
2024
Statut:
epublish
Résumé
Coccidioidomycosis poses a significant cost and morbidity burden in the United States. Additionally, coccidioidomycosis requires constant decision-making related to prevention, diagnosis, and management. Delays in diagnosis lead to significant consequences, including unnecessary diagnostic workup and antibacterial therapy. Antifungal stewardship considerations regarding empiric, prophylactic, and targeted management of coccidioidomycosis are also complex. In this review, the problems facing antimicrobial stewardship programs (ASPs) in the endemic region for coccidioidomycosis, consequences due to delayed or missed diagnoses of coccidioidomycosis on antibacterial prescribing, and excess antifungal prescribing for prevention and treatment of coccidioidomycosis are elucidated. Finally, our recommendations and research priorities for ASPs in the endemic region for coccidioidomycosis are outlined.
Identifiants
pubmed: 38887479
doi: 10.1093/ofid/ofae041
pii: ofae041
pmc: PMC11181196
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
ofae041Informations de copyright
© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America.
Déclaration de conflit d'intérêts
Potential conflicts of interest. J. F. H. has received research support from Mayne Pharma. D. E. N. reports no potential conflicts.
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