Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycoses Article Swipe
Ritesh Agarwal
,
Inderpaul Singh Sehgal
,
Valliappan Muthu
,
David W. Denning
,
Arunaloke Chakrabarti
,
Soundappan Kathirvel
,
Mandeep Garg
,
Shivaprakash M. Rudramurthy
,
Sahajal Dhooria
,
Darius Armstrong‐James
,
Koichiro Asano
,
Jean‐Pierre Gangneux
,
Sanjay H. Chotirmall
,
Helmut J.F. Salzer
,
James D. Chalmers
,
Cendrine Godet
,
Marcus Joest
,
Iain Page
,
Parameswaran Nair
,
P Arjun
,
Raja Dhar
,
Kana Ram Jat
,
Geethu Joe
,
Uma Maheswari Krishnaswamy
,
Joseph L. Mathew
,
Venkata Nagarjuna Maturu
,
Anant Mohan
,
Alok Nath
,
Dharmesh Patel
,
Jayanthi Savio
,
Puneet Saxena
,
Rajeev Soman
,
Balamugesh Thangakunam
,
Caroline Baxter
,
Felix Bongomin
,
William J. Calhoun
,
Oliver A. Cornely
,
John Aubrey Douglass
,
Chris Kosmidis
,
Jacques F. Meis
,
Richard B. Moss
,
Alessandro C. Pasqualotto
,
Danila Seidel
,
Rosanne Sprute
,
Kuruswamy Thurai Prasad
,
Ashutosh N. Aggarwal
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1183/13993003.00061-2024
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1183/13993003.00061-2024
Background The International Society for Human and Animal Mycology (ISHAM) working group proposed recommendations for managing allergic bronchopulmonary aspergillosis (ABPA) a decade ago. There is a need to update these recommendations due to advances in diagnostics and therapeutics. Methods An international expert group was convened to develop guidelines for managing ABPA (caused by Aspergillus spp.) and allergic bronchopulmonary mycosis (ABPM; caused by fungi other than Aspergillus spp.) in adults and children using a modified Delphi method (two online rounds and one in-person meeting). We defined consensus as ≥70% agreement or disagreement. The terms “recommend” and “suggest” are used when the consensus was ≥70% and <70%, respectively. Results We recommend screening for A. fumigatus sensitisation using fungus-specific IgE in all newly diagnosed asthmatic adults at tertiary care but only difficult-to-treat asthmatic children. We recommend diagnosing ABPA in those with predisposing conditions or compatible clinico-radiological presentation, with a mandatory demonstration of fungal sensitisation and serum total IgE ≥500 IU·mL −1 and two of the following: fungal-specific IgG, peripheral blood eosinophilia or suggestive imaging. ABPM is considered in those with an ABPA-like presentation but normal A. fumigatus -IgE. Additionally, diagnosing ABPM requires repeated growth of the causative fungus from sputum. We do not routinely recommend treating asymptomatic ABPA patients. We recommend oral prednisolone or itraconazole monotherapy for treating acute ABPA (newly diagnosed or exacerbation), with prednisolone and itraconazole combination only for treating recurrent ABPA exacerbations. We have devised an objective multidimensional criterion to assess treatment response. Conclusion We have framed consensus guidelines for diagnosing, classifying and treating ABPA/M for patient care and research.
Related Topics
Concepts
Medicine
Allergic bronchopulmonary aspergillosis
Aspergillosis
Clinical Practice
Pulmonary aspergillosis
Dermatology
Immunology
Family medicine
Immunoglobulin E
Antibody
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1183/13993003.00061-2024
- OA Status
- green
- Cited By
- 129
- References
- 215
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392298082
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392298082Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1183/13993003.00061-2024Digital Object Identifier
- Title
-
Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycosesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-29Full publication date if available
- Authors
-
Ritesh Agarwal, Inderpaul Singh Sehgal, Valliappan Muthu, David W. Denning, Arunaloke Chakrabarti, Soundappan Kathirvel, Mandeep Garg, Shivaprakash M. Rudramurthy, Sahajal Dhooria, Darius Armstrong‐James, Koichiro Asano, Jean‐Pierre Gangneux, Sanjay H. Chotirmall, Helmut J.F. Salzer, James D. Chalmers, Cendrine Godet, Marcus Joest, Iain Page, Parameswaran Nair, P Arjun, Raja Dhar, Kana Ram Jat, Geethu Joe, Uma Maheswari Krishnaswamy, Joseph L. Mathew, Venkata Nagarjuna Maturu, Anant Mohan, Alok Nath, Dharmesh Patel, Jayanthi Savio, Puneet Saxena, Rajeev Soman, Balamugesh Thangakunam, Caroline Baxter, Felix Bongomin, William J. Calhoun, Oliver A. Cornely, John Aubrey Douglass, Chris Kosmidis, Jacques F. Meis, Richard B. Moss, Alessandro C. Pasqualotto, Danila Seidel, Rosanne Sprute, Kuruswamy Thurai Prasad, Ashutosh N. AggarwalList of authors in order
- Landing page
-
https://doi.org/10.1183/13993003.00061-2024Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/10991853Direct OA link when available
- Concepts
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Medicine, Allergic bronchopulmonary aspergillosis, Aspergillosis, Clinical Practice, Pulmonary aspergillosis, Dermatology, Immunology, Family medicine, Immunoglobulin E, AntibodyTop concepts (fields/topics) attached by OpenAlex
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129Total citation count in OpenAlex
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2025: 86, 2024: 42Per-year citation counts (last 5 years)
- References (count)
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215Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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