French recommendations on control measures to reduce the infectious risk in immunocompromised patients

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TitreFrench recommendations on control measures to reduce the infectious risk in immunocompromised patients
Type de publicationJournal Article
Year of Publication2017
AuteursZahar J.-R, Jolivet S., Adam H., Dananche C., Lizon J., Alfandari S., Boulestreau H., Baghdadi N., Bay J.-O, Beneteau A.-M, Bougnoux M.-E, Brenier-Pinchart M.-P, Dalle J.-H, Fournier S., Fuzibet J.-G, Kauffmann-Lacroix C., Le Guinche I., Lepelletier D., Loukili N., Lory A., Morvan M., Oumedaly R., Ribaud P., Rohrlich P., Vanhems P., Aho S., Vanjak D., Gangneux J.-P
JournalJOURNAL DE MYCOLOGIE MEDICALE
Volume27
Pagination449-456
Date PublishedDEC
Type of ArticleReview
ISSN1156-5233
Mots-clésENVIRONMENT, Immunocompromised host, Neutropenia, Prevention
Résumé

The increase use of immunosuppressive treatments in patients with solid cancer and/or inflammatory diseases requires revisiting our practices for the prevention of infectious risk in the care setting. A review of the literature by a multidisciplinary working group at the beginning of 2014 wished to answer the following 4 questions to improve healthcare immunocompromised patients: (I) How can we define immunocompromised patients with high, intermediate and low infectious risk, (II) which air treatment should be recommended for this specific population? (III) What additional precautions should be recommended for immunocompromised patients at risk for infection? (IV) Which global environmental control should be recommended? Based on data from the literature and using the GRADE method, we propose 15 recommendations that could help to reduce the risk of infection in these exposed populations. (C) 2017 Elsevier Masson SAS. All rights reserved.

DOI10.1016/j.mycmed.2017.10.004