“Antifungal Stewardship” A Pertinent Exigency in Mycobial Treatment


  • Priyanka Debta
  • Santosh Kumar Swain
  • Ekagrata Mishra
  • Fakir Mohan Debta
  • Gargi Sarode
  • Mahesh Chandra Sahu




Antifungal Stewardship; Mycobial Treatment; Antifungal Resistance.


“Stewardship” is an ethic that exemplifies the conscientious, and sustainable forethought with the
management of resources. Antifungal stewardship” is evidence-based interventions for judicious
antifungal usage in healthcare setup, to get the best clinical outcomes and minimize adverse events and
selective exhaustive pressures. This review briefly catalogues the seven core elements and supplementary
recommendations by Mycoses Study Group Education and Research Consortium. Appraisal of AFS requires
a set of metrics which have been categorized into quantitative metrics, quality metrics, patient outcome and
microbiological metrics and performance metrics or outcome measures. The four domains about barriers
concerning antimicrobial stewardship programs which include “outer setting”, “inner setting”, “individuals
involved” and “the intervention”, have also been elucidated. At the present scenario, fungal infections are
increasing especially in immunocompromised and cancer patients thus financial strain imposed by these on
health care is expected to escalate over time as the populace of individuals at risk augment. AFS comes to
the rescue to promote a wholesome utilization of currently available antifungal drugs to stem the tide of the
emergence of resistance and morbidity of invasive disease.

Author Biographies

Priyanka Debta

Professor, Department of Oral Pathology & Microbiology, Institute of Dental Science, Siksha O Anusandhan,
Deemed to be University, K8, Kalinga Nagar, Bhubaneswar, Odisha, India

Santosh Kumar Swain

Professor, Department of
Otorhinolaryngology, IMS and SUM Hospital, Siksha O Anusandhan, Deemed to be University, K8, Kalinganagar,
Bhubaneswar, Odisha, India

Ekagrata Mishra

Post graduate Student

Fakir Mohan Debta

Professor, Department of Oral Medicine and Radiology,
S.C.B. Dental College and Hospital, Cuttack, Odisha, India

Gargi Sarode

Professor, Department of Oral Pathology &
Microbiology, D.Y. Patil Dental College and Hospital, D.Y. Patil Vidyapeeth, Pune, India

Mahesh Chandra Sahu

Scientist B, Division of
Toxicology, ICMR-National Institute of Occupational Health, Meghaninagar, Ahmedabad, Gujarat, India



How to Cite

Priyanka Debta, Santosh Kumar Swain, Ekagrata Mishra, Fakir Mohan Debta, Gargi Sarode, & Mahesh Chandra Sahu. (2021). “Antifungal Stewardship” A Pertinent Exigency in Mycobial Treatment. Indian Journal of Forensic Medicine & Toxicology, 15(2), 3813-3820. https://doi.org/10.37506/ijfmt.v15i2.14967

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