Fungal Infection: Diagnosis and Management (2003) by Malcolm D. Richardson, David W. Warnock

By Malcolm D. Richardson, David W. Warnock

Concise, updated advisor to the medical manifestations, laboratory prognosis and administration of superficial, subcutaneous and systemic fungal infections"I might suggest this publication to all microbiologists and clinicians on a regular basis facing sufferers being affected by fungal infections."Journal of clinical MicrobiologyWHY purchase THIS BOOK?Thorough replace of vital advancements within the analysis and administration of fungal infections up to date drug and dosage innovations up-to-date in response to present directions New function: epidemiology and prevention part in every one bankruptcy plus additional interpreting lists of key papers New characteristic: algorithms in each one part on administration and therapy of key fungal infections Problem-orientated to assist clinician make most sensible use of time-consuming laboratory investigationsThis name is now on hand for the PDA, powered through Skyscape - to shop for your replica click on right here

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All specimen containers should be clearly labelled. 1 Skin, nails and hair Skin, nails and hair should be collected into folded squares of black paper (about 10 x 10 cm). The use of paper permits the specimen to dry out, which helps to reduce bacterial contamination, and also provides a convenient means of storing specimens for long periods (12 months or longer). It is often helpful to clean superficial lesions with 70% alcohol prior to sampling as this will improve the chances of detecting fungus on microscopic examination, as well as reducing the likelihood of bacterial contamination of cultures.

The isolation and identification of moulds and yeasts can take several weeks. In such unavoidable instances, the result may become available too late either to help with the diagnosis or with the choice of treatment. Nevertheless, culture should always be attempted so that a definitive diagnosis can be obtained. 4 Serological tests Serological testing often provides the most rapid means of diagnosing a fungal infection. The majority of tests are based on the detection of antibodies to specific fungal pathogens, although tests for fungal antigens are now becoming more widely available.

Blood concentrations are unchanged in hepatic or renal failure. Likewise, haemodialysis does not influence blood levels unless the patient is hyperlipemic, in which case there is some drug loss due to adherence to the dialysis membrane. LIPID-BASED FORMULATIONS The pharmacokinetics of the different lipid-based formulations of amphotericin B are quite diverse. Large structures, such as ABLC, are rapidly removed from the blood, but smaller liposomes remain in the circulation for much longer periods.

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