Perspectives on Scedosporium species and Lomentospora prolificans in lung transplantation: Results of an international practice survey from ESCMID fungal infection study group and study group for infections in compromised hosts, and European Confederation of Medical Mycology.

Rammaert, Blandine; Puyade, Mathieu; Cornely, Oliver A; Seidel, Danila; Grossi, Paolo; Husain, Shahid; Picard, Clément; Lass-Flörl, Cornelia; Manuel, Oriol; Le Pavec, Jérôme; Lortholary, Olivier (2019). Perspectives on Scedosporium species and Lomentospora prolificans in lung transplantation: Results of an international practice survey from ESCMID fungal infection study group and study group for infections in compromised hosts, and European Confederation of Medical Mycology. Transplant infectious disease, 21(5), e13141. Wiley 10.1111/tid.13141

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BACKGROUND Scedosporium species and Lomentospora prolificans (S/L) are the second most common causes of invasive mold infections following Aspergillus in lung transplant recipients. METHODS We assessed the current practices on management of S/L colonization/infection of the lower respiratory tract before and after lung transplantation in a large number of lung transplant centers through an international practice survey from October 2016 to March 2017. RESULTS A total of 51 respondents from 45 lung transplant centers (17 countries, 4 continents) answered the survey (response rate 58%). S/L colonization was estimated to be detected in candidates by 48% of centers. Only 18% of the centers used a specific medium to detect S/L colonization. Scedosporium spp. colonization was a contraindication to transplantation in 10% of centers whereas L prolificans was a contraindication in 31%; 22% of centers declared having had 1-5 recipients infected with S/L in the past 5 years. CONCLUSIONS This survey gives an overview of the current practices regarding S/L colonization and infection in lung transplant centers worldwide and underscores the need of S/L culture procedure standardization before implementing prospective studies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1398-2273

Publisher:

Wiley

Language:

English

Submitter:

Heidi Lobsiger

Date Deposited:

11 Dec 2019 10:13

Last Modified:

15 Dec 2019 02:44

Publisher DOI:

10.1111/tid.13141

PubMed ID:

31283872

Additional Information:

Anne Kathrin Brill is a member of the SCEDO‐LUNG collaborative group.

Uncontrolled Keywords:

invasive fungal disease lomentosporiosis scedosporiosis solid organ transplantation

BORIS DOI:

10.7892/boris.135452

URI:

https://boris.unibe.ch/id/eprint/135452

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