PROSPECTIVE EVALUATION OF FUNGAL INFECTIONS IN PATIENTS UNDERGOING EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) IN INTENSIVE CARE UNITS
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Abstract
Extracorporeal membrane oxygenation (ECMO) has become a critical intervention for patients with severe cardiac and respiratory failure who do not respond to conventional treatments. While ECMO provides temporary life support, it is associated with various complications, including a heightened risk of infections due to prolonged hospitalization, immune suppression, and the need for invasive devices. Among these infections, fungal infections pose a unique threat due to their often-subtle onset, diagnostic challenges, and high associated mortality rates. This prospective observational study was conducted over 12 months, from June 2023 to May 2024, to evaluate the incidence, risk factors, clinical manifestations, and outcomes of fungal infections in ICU patients undergoing ECMO. Through rigorous diagnostic methods and a close examination of patient outcomes, this study identifies critical risk factors and suggests evidence-based preventive and therapeutic strategies for fungal infections in ECMO-supported patients. The findings underscore the need for proactive fungal infection management to improve survival outcomes in the ECMO population [1, 2].
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Abhishek Sharma
Junior resident, Department of Anatomy, Lady Hardinge Medical college
Swati Sankhwar
Senior resident,Dept of obstetrics and gynaecology, King George medical college
Vipul Kumar
Junior resident,Dept of paediatric,Shaikh-ul-hind Maulana Mahmood Hasan medical College