Journal of Microbiology, Immunology and Infection (Apr 2023)
Recommendations and guidelines for the diagnosis and management of Coronavirus Disease-19 (COVID-19) associated bacterial and fungal infections in Taiwan
- Huan-Yi Wu,
- Peng-Hao Chang,
- Yu-Shan Huang,
- Chin-Shiang Tsai,
- Kuan-Yu Chen,
- I-Fan Lin,
- Wen-Hsin Hsih,
- Wan-Lin Tsai,
- Jiun-An Chen,
- Te-Liang Yang,
- Chun-Yuan Lee,
- Tzong-Shiann Ho,
- Hsiao-Wei Wang,
- Shiang-Fen Huang,
- Alice Ying-Jung Wu,
- Hung-Jui Chen,
- Yi-Ching Chen,
- Wan-Chen Chen,
- Chien-Hao Tseng,
- Pei-Chin Lin,
- Ching-Hsiang Yang,
- Pi-Lien Hong,
- Susan Shin-Jung Lee,
- Yao-Shen Chen,
- Yung-Ching Liu,
- Fu-Der Wang,
- Yu-Jiun Chan,
- Feng-Yee Chang,
- Hou-Tai Chang,
- Yao-Shen Chen,
- Yee-Chun Chen,
- Yen-Hsu Chen,
- Ming-Fang Cheng,
- Hsin Chi,
- Cheng-Hsun Chiu,
- Mao-Wang Ho,
- Szu-Min Hsieh,
- Po-Ren Hsueh,
- Chien-Hsien Huang,
- Chien-Ching Hung,
- Kao-Pin Hwang,
- Kuo-Chin Kao,
- Wen-Chien Ko,
- Chien-Feng Kuo,
- Chung-Hsu Lai,
- Nan-Yao Lee,
- Shin-Jung Lee,
- Hsi-Hsun Lin,
- Yi-Tsung Lin,
- Ching-Chuan Liu,
- Po-Yu Liu,
- Yung-Ching Liu,
- Po-Liang Lu,
- Chun-Yi Lu,
- Wang-Huei Sheng,
- Hung-Jen Tang,
- Hung-Chin Tsai,
- Fu-Der Wang,
- Ting-Shu Wu,
- Chia-Jui Yang
Affiliations
- Huan-Yi Wu
- Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
- Peng-Hao Chang
- Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan
- Yu-Shan Huang
- Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
- Chin-Shiang Tsai
- Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Kuan-Yu Chen
- Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
- I-Fan Lin
- Division of Infectious Diseases, Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan
- Wen-Hsin Hsih
- Division of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan
- Wan-Lin Tsai
- Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
- Jiun-An Chen
- Division of Pediatric Infectious Diseases, China Medical University Children's Hospital, China Medical University, Taichung, Taiwan
- Te-Liang Yang
- Department of Pediatrics, National Taiwan University Hospital Hsin-Chu Branch, Taiwan
- Chun-Yuan Lee
- Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; M.Sc. Program in Tropical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- Tzong-Shiann Ho
- Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Hsiao-Wei Wang
- Division of Infectious Diseases, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
- Shiang-Fen Huang
- Division of Infectious Diseases, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; National Yang-Ming University, Taipei, Taiwan
- Alice Ying-Jung Wu
- Division of Infectious Diseases, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan; MacKay Medical College, New Taipei City, Taiwan
- Hung-Jui Chen
- Division of Infectious Diseases, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan
- Yi-Ching Chen
- Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan
- Wan-Chen Chen
- Department of Pediatrics, Changhua Christian Children's Hospital, Changhua City, Taiwan
- Chien-Hao Tseng
- Division of Infectious Diseases, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- Pei-Chin Lin
- Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan
- Ching-Hsiang Yang
- Department of Pharmacy, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
- Pi-Lien Hong
- Department of Pharmacy, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
- Susan Shin-Jung Lee
- Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan; Corresponding author. 386, Ta-Chung 1st Rd., Kaohsiung 813, Taiwan.
- Yao-Shen Chen
- Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
- Yung-Ching Liu
- Division of Infectious Diseases, Taipei Medical University Shuang Ho Hospital, Taipei, Taiwan
- Fu-Der Wang
- Division of Infectious Diseases, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
- Yu-Jiun Chan
- Feng-Yee Chang
- Hou-Tai Chang
- Yao-Shen Chen
- Yee-Chun Chen
- Yen-Hsu Chen
- Ming-Fang Cheng
- Hsin Chi
- Cheng-Hsun Chiu
- Mao-Wang Ho
- Szu-Min Hsieh
- Po-Ren Hsueh
- Chien-Hsien Huang
- Chien-Ching Hung
- Kao-Pin Hwang
- Kuo-Chin Kao
- Wen-Chien Ko
- Chien-Feng Kuo
- Chung-Hsu Lai
- Nan-Yao Lee
- Shin-Jung Lee
- Hsi-Hsun Lin
- Yi-Tsung Lin
- Ching-Chuan Liu
- Po-Yu Liu
- Yung-Ching Liu
- Po-Liang Lu
- Chun-Yi Lu
- Wang-Huei Sheng
- Hung-Jen Tang
- Hung-Chin Tsai
- Fu-Der Wang
- Ting-Shu Wu
- Chia-Jui Yang
- Journal volume & issue
-
Vol. 56,
no. 2
pp. 207 – 235
Abstract
Coronavirus disease-19 (COVID-19) is an emerging infectious disease caused by SARS-CoV-2 that has rapidly evolved into a pandemic to cause over 600 million infections and more than 6.6 million deaths up to Nov 25, 2022. COVID-19 carries a high mortality rate in severe cases. Co-infections and secondary infections with other micro-organisms, such as bacterial and fungus, further increases the mortality and complicates the diagnosis and management of COVID-19. The current guideline provides guidance to physicians for the management and treatment of patients with COVID-19 associated bacterial and fungal infections, including COVID-19 associated bacterial infections (CABI), pulmonary aspergillosis (CAPA), candidiasis (CAC) and mucormycosis (CAM). Recommendations were drafted by the 7th Guidelines Recommendations for Evidence-based Antimicrobial agents use Taiwan (GREAT) working group after review of the current evidence, using the grading of recommendations assessment, development, and evaluation (GRADE) methodology. A nationwide expert panel reviewed the recommendations in March 2022, and the guideline was endorsed by the Infectious Diseases Society of Taiwan (IDST). This guideline includes the epidemiology, diagnostic methods and treatment recommendations for COVID-19 associated infections. The aim of this guideline is to provide guidance to physicians who are involved in the medical care for patients with COVID-19 during the ongoing COVID-19 pandemic.
