Ushering in Antifungal Stewardship: Perspectives of the Hematology Multidisciplinary Team Navigating Competing Demands, Constraints, and Uncertainty
Author(s) -
Michelle AnandaRajah,
Samuel Fitchett,
Darshini Ayton,
Anton Y. Peleg,
Shaun Fleming,
Eliza Watson,
Kelly A. Cairns,
Trisha Peel
Publication year - 2020
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofaa168
Subject(s) - medicine , stewardship (theology) , antimicrobial stewardship , population , thematic analysis , nursing , family medicine , environmental health , qualitative research , political science , social science , microbiology and biotechnology , antibiotic resistance , sociology , politics , law , biology , antibiotics
Antifungal stewardship is multifaceted, with fungal diagnostics a critical gap and outpatients a neglected area. Formal surveillance, audit, and feedback mechanisms are essential for population-level quality improvement. Resourcing is the next challenge because complex immunocompromised patients require personalized attention and audit of clinical outcomes including IFD is difficult.
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