American Society of Transplantation and Cellular Therapy Series: #8-Management and prevention of non-Aspergillus molds in hematopoietic cell transplantation recipients Guidelines


Authors: Douglas, A. P.; Lamoth, F.; John, T. M.; Groll, A. H.; Shigle, T. L.; Papanicolaou, G. A.; Chemaly, R. F.; Carpenter, P. A.; Dadwal, S. S.; Walsh, T. J.; Kontoyiannis, D. P.
Title: American Society of Transplantation and Cellular Therapy Series: #8-Management and prevention of non-Aspergillus molds in hematopoietic cell transplantation recipients
Abstract: The Practice Guidelines Committee of the American Society of Transplantation and Cellular Therapy partnered with its Transplant Infectious Disease Special Interest Group to create a guideline focusing on non-Aspergillus invasive molds, which are uncommon yet lethal invasive fungal diseases in the peri-hematopoietic cell transplant (HCT) period. We used a compendium-style approach by dissecting this broad, heterogeneous, and highly complex topic into a series of standalone frequently asked questions (FAQs) and tables. Adult and pediatric infectious diseases and HCT content experts developed, then answered FAQs, and finalized topics with harmonized recommendations. All the evidence for non-Aspergillus invasive mold infection is non-RCT and mostly level III, therefore there are no recommendation grades, and instead key references are provided. Through this format, this “8th” topic in the series focuses on the relevant risk factors, diagnostic considerations, prophylaxis, and treatment approaches relevant to rare mold infections in the pre- and post-transplant periods. © 2025 The Authors
Keywords: treatment response; clinical feature; treatment duration; risk factors; antifungal agent; practice guideline; hematopoietic stem cell transplantation; risk factor; societies, medical; prophylaxis; medical society; allogeneic hematopoietic stem cell transplantation; infection prevention; mycosis; antifungal agents; graft recipient; polypharmacy; prevention and control; etiology; medical history; molecular diagnosis; adverse event; guideline; systemic mycosis; mycoses; surgical debridement; invasive fungal infection; antifungal therapy; experimental therapy; hematopoietic cell transplant; scedosporium; fusarium; humans; prognosis; human; article; trehalose; mold; chimeric antigen receptor t-cell immunotherapy; invasive fungal infections; fusariosis; lomentospora; pseudallescheriasis; species complex
Journal Title: Transplantation and Cellular Therapy
Volume: 31
Issue: 4
ISSN: 2666-6375
Publisher: Elsevier Inc.  
Date Published: 2025-04-01
Start Page: 194
End Page: 223
Language: English
DOI: 10.1016/j.jtct.2025.01.892
PUBMED: 39923936
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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