Therapie der intraabdominellen Pilzinfektionen.

Candida albicansis the fourth most germ that can be identified on surgical intensive care unit (SICU). During the course of severe peritonitis recognition ofCandidais crucial for physicians but interpretation ofCandida-positive microbiologic samples is difficult. The indication for antimycotic therapy requires differentiation between harmless contamination or severe invasive mycosis associated with high mortality. Therefore, we propose a four-stage classification. Stage I is the initial contamination of the abdominal cavity byCandidaspp. Stage IIa is characterized by persistence of fungi in patients without risk factors, IIb with risk factors respectively. Stage III means histological evidence ofCandidainvasion into the peritoneal layer. Stage IV is a generalized infection with fungemia/fungal sepsis. We recommend antimycotic therapy in stage IIb or higher. [ABSTRACT FROM AUTHOR]