Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium
- PMID: 31802125
- PMCID: PMC7486838
- DOI: 10.1093/cid/ciz1008
Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium
Abstract
Background: Invasive fungal diseases (IFDs) remain important causes of morbidity and mortality. The consensus definitions of the Infectious Diseases Group of the European Organization for Research and Treatment of Cancer and the Mycoses Study Group have been of immense value to researchers who conduct clinical trials of antifungals, assess diagnostic tests, and undertake epidemiologic studies. However, their utility has not extended beyond patients with cancer or recipients of stem cell or solid organ transplants. With newer diagnostic techniques available, it was clear that an update of these definitions was essential.
Methods: To achieve this, 10 working groups looked closely at imaging, laboratory diagnosis, and special populations at risk of IFD. A final version of the manuscript was agreed upon after the groups' findings were presented at a scientific symposium and after a 3-month period for public comment. There were several rounds of discussion before a final version of the manuscript was approved.
Results: There is no change in the classifications of "proven," "probable," and "possible" IFD, although the definition of "probable" has been expanded and the scope of the category "possible" has been diminished. The category of proven IFD can apply to any patient, regardless of whether the patient is immunocompromised. The probable and possible categories are proposed for immunocompromised patients only, except for endemic mycoses.
Conclusions: These updated definitions of IFDs should prove applicable in clinical, diagnostic, and epidemiologic research of a broader range of patients at high-risk.
Keywords: consensus; definitions; diagnosis; invasive fungal diseases; research.
© The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America.
Comment in
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Defining Invasive Fungal Diseases for Clinical Research: A Work in Progress.Clin Infect Dis. 2020 Sep 12;71(6):1377-1378. doi: 10.1093/cid/ciz1013. Clin Infect Dis. 2020. PMID: 31802113 No abstract available.
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The Revised Definitions for Invasive Fungal Diseases: Some Advances But Questions Remain.Clin Infect Dis. 2020 Dec 3;71(9):2541-2542. doi: 10.1093/cid/ciaa099. Clin Infect Dis. 2020. PMID: 32006011 No abstract available.
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Reply to Mafaciolli and Pasqualotto.Clin Infect Dis. 2020 Dec 3;71(9):2542-2543. doi: 10.1093/cid/ciaa104. Clin Infect Dis. 2020. PMID: 32006030 Free PMC article. No abstract available.
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Reply to Herbrecht et al.Clin Infect Dis. 2020 Dec 17;71(10):2774-2775. doi: 10.1093/cid/ciaa208. Clin Infect Dis. 2020. PMID: 32124928 Free PMC article. No abstract available.
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Validation by Real-life Data of the New Radiological Criteria of the Revised and Updated Consensus Definition for Invasive Fungal Diseases.Clin Infect Dis. 2020 Dec 17;71(10):2773-2774. doi: 10.1093/cid/ciaa205. Clin Infect Dis. 2020. PMID: 32124931 No abstract available.
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Reply to Luppi et al.Clin Infect Dis. 2020 Dec 15;71(12):3266. doi: 10.1093/cid/ciaa324. Clin Infect Dis. 2020. PMID: 32412052 Free PMC article. No abstract available.
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Ibrutinib Is a Newly Recognized Host Factor for the Definition of Probable Invasive Pulmonary Mold Disease, Based on Off-target Effects, Unrelated to Its B-cell Immunosuppressant Activity.Clin Infect Dis. 2020 Dec 15;71(12):3265-3266. doi: 10.1093/cid/ciaa323. Clin Infect Dis. 2020. PMID: 32412056 No abstract available.
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