“Antifungal Stewardship” A Pertinent Exigency in Mycobial Treatment
Keywords: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.
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