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Table 6 Treatment strategy with suspected or proven invasive intra-abdominal mycotic infection with Candida spp.

From: Antimicrobial Treatmdent of "Complicated" Intra-Abdominal Infections and The New IDSA Guidelines - A Commentary and an Alternative European Approach According to Clinical Definitions

Diagnosis Initial therapy Level of evidence Strength of recommendation
Colonization with Candida spp. none 3 A
Suspected or proven invasive
mycosis: stable patient
Fluconazole 3 A
  Voriconazole 4 B
Suspected or proven invasive
mycosis: instable patient
Echinocandin (Anidulafungin, Caspofungin, Micafungin) If Candida spp. is Fluconazole-susceptible, Step-down therapy to 4 A
  Fluconazole or 3 A
  Voriconazole 3 A