Management of mould pneumonia in resource-limited settings in Asia: A Delphi-based consensus statement by the Asia Fungal Working Group
Issued Date
2025-12-01
Resource Type
eISSN
14602709
Scopus ID
2-s2.0-105023546883
Pubmed ID
41251327
Journal Title
Medical Mycology
Volume
63
Issue
12
Rights Holder(s)
SCOPUS
Bibliographic Citation
Medical Mycology Vol.63 No.12 (2025)
Suggested Citation
Chayakulkeeree M., Tan B.H., Chen Y.C., Patel A., Li R., Chindamporn A., Chua M., Jabeen K., Lan N.P.H., Low L.L., Sun P.L., Wahyuningsih R., Zhu L.P., Chakrabarti A. Management of mould pneumonia in resource-limited settings in Asia: A Delphi-based consensus statement by the Asia Fungal Working Group. Medical Mycology Vol.63 No.12 (2025). doi:10.1093/mmy/myaf106 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113458
Title
Management of mould pneumonia in resource-limited settings in Asia: A Delphi-based consensus statement by the Asia Fungal Working Group
Author's Affiliation
Fudan University
Chang Gung Memorial Hospital
National Taiwan University Hospital
Universitas Indonesia
Chang Gung University College of Medicine
University College London Hospitals NHS Foundation Trust
Singapore General Hospital
The Aga Khan University
Peking University First Hospital
Siriraj Hospital
National Health Research Institutes Taiwan
Faculty of Medicine, Chulalongkorn University
Universitas Kristen Indonesia
Hospital Sultanah Bahiyah
Cebu Institute of Medicine
Vedanta Institute of Medical Sciences
Doodhadhari Burfani Hospital and Research Institute
Chang Gung Memorial Hospital
National Taiwan University Hospital
Universitas Indonesia
Chang Gung University College of Medicine
University College London Hospitals NHS Foundation Trust
Singapore General Hospital
The Aga Khan University
Peking University First Hospital
Siriraj Hospital
National Health Research Institutes Taiwan
Faculty of Medicine, Chulalongkorn University
Universitas Kristen Indonesia
Hospital Sultanah Bahiyah
Cebu Institute of Medicine
Vedanta Institute of Medical Sciences
Doodhadhari Burfani Hospital and Research Institute
Corresponding Author(s)
Other Contributor(s)
Abstract
Mould pneumonia can be life-threatening, and its incidence is increasing in Asia. Due to significant variability in diagnostic setups and the availability of antifungal agents, especially in resource-limited settings, the current treatment practices and recommendations for local clinicians are poorly described. This study aimed to develop a consensus statement on the clinical management of mould pneumonia in Asia, particularly within resource-limited settings. Clinicians and infectious disease experts from the Asia Fungal Working Group answered questions about the regional epidemiology as well as diagnostic and resource-limited treatment approaches of mould pneumonia. Guided by a literature review, 22 initial questions were generated and voted upon anonymously using a Delphi-based methodology with predefined consensus criteria. The study comprised two rounds: one to generate summary statements based on the panelists' questionnaire responses, and the other to review, confirm and rate the level of agreement of the consensus statements using a five-point Likert scale. The panelists generated 21 summary statements on the epidemiology (5), diagnosis (8), and treatment (8) of mould pneumonia, 20 of which achieved ≥ 70% consensus. Through a consensus-building exercise, clinical experts from Asia developed a set of 21 consensus statements for the diagnosis and management of mould pneumonia in resource-limited settings.