What are the best treatments for Aspergillosis?

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Treatments for Aspergillosis


Aspergillosis is a fungal infection caused by the Aspergillus fungus. It can affect various parts of the body, including the lungs, sinuses, and other organs. The treatment for aspergillosis depends on the severity of the infection and the specific site of infection. Here are some of the best treatments available:



Antifungal Medications


Antifungal medications are the cornerstone of treatment for aspergillosis. These medications work by inhibiting the growth and spread of the Aspergillus fungus. The choice of antifungal medication depends on the type and severity of the infection. Commonly prescribed antifungal drugs include:



  • Voriconazole: This is the preferred treatment for invasive aspergillosis, the most severe form of the infection. It is highly effective and has become the standard of care.

  • Amphotericin B: This medication is used when voriconazole cannot be tolerated or is ineffective. It can be given intravenously or as an inhaled formulation.

  • Isavuconazole: This newer antifungal drug is approved for the treatment of invasive aspergillosis and certain other fungal infections.



Surgical Intervention


In some cases, surgical intervention may be necessary to remove infected tissue or to drain abscesses caused by aspergillosis. Surgery is often considered when the infection does not respond to antifungal medications alone or when there is a risk of severe complications.



Supportive Care


Supportive care plays a crucial role in the treatment of aspergillosis. This includes managing symptoms, improving lung function, and addressing any underlying conditions that may weaken the immune system. Some supportive care measures include:



  • Oxygen therapy: Supplemental oxygen may be provided to improve oxygen levels in the blood.

  • Chest physiotherapy: Techniques such as postural drainage and percussion can help clear mucus from the lungs.

  • Immunotherapy: In certain cases, immunotherapy may be considered to boost the immune system's response to the infection.



Prevention


Preventing aspergillosis is particularly important for individuals with weakened immune systems. Some preventive measures include:



  • Infection control: Strict infection control practices should be followed in healthcare settings to minimize the risk of exposure to Aspergillus.

  • Reducing exposure: Minimizing exposure to environments with high levels of Aspergillus spores, such as construction sites or areas with mold contamination.

  • Managing underlying conditions: Proper management of underlying conditions, such as asthma or cystic fibrosis, can help reduce the risk of aspergillosis.



It is important to note that the treatment approach may vary depending on individual circumstances, and it is always best to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan.


by Diseasemaps

not sure on all the treatments but my Dr in Australia does not believe in Anti-fungals so I am treated with Anti-biotics and Prednisone

9/11/17 by Michele 2656

Anti fungals are working for me when I was getting three chest infections per year and 5 mg prednisone was not helping.

10/18/17 by Peta 3110

From my experience advice of good professionals an the use of anti fungal drugs

10/18/17 by Vaughan 2500

I tried antifungals, but they didn’t help me. I have a lot of antihistamine.

10/18/17 by Mandy 1200

I ended up going to Stanford and California the lung doctor there put me on high doses of steroids for several months and later to Kris those as I got steroid poisoning. Anytime you are on 20 megs or more of steroid apparently you have to take a very powerful antibiotic also I also had to be on oxygen. Each of those medication bring on their own symptoms and side effects in addition to your own illness it is a very difficult condition to navigate.

10/21/17 by Boni 1450

There is two methods of treatment Either antifungal medications to lower the fungus ( but does not eliminate it) Or predinsnone ( Solupred) to decrease the antibodies that fight the fungus Some doctors cud prescribe both together... each has their side effects Both should lower ige level

11/7/17 by Louby 1400

again it all depends on which aspergillosis you have ie: A.fumigatus - it would be a Azole treatment

11/9/17 by Sam 2500

Remain off most types of alcohol drinks as they can contain some of the yeast in mould. Steroid treatment with possibility if not gett8ng better ant8 fungal drug. The use of HEPA purifier in the house has proved beneficial.

8/14/18 by StuartMcKelvie 4050

So far the treatment they give me is that breathing machine, prednisone, and antibiotics.

8/8/19 by Patricia Fletcher 2500

There are several different forms of aspergillosis; invasive (acute), chronic pulmonary (CPA), allergic (ABPA). See https://aspergillosis.org/what-is-aspergillosis/ for more details. There are also many more potential sites of infection - refer to https://www.aspergillus.org.uk/treatment/treatment-aspergillosis-and-aspergilloma Allergic forms are managed with oral steroids and antifungal medication. Chronic infections are maintained mostly using oral steroids and long term antifungal drugs with regular clinic checks. Acute forms require rapid diagnosis and aggresive antifungal medication.

10/16/19 by GAtherton 3100

Anti fungals, perhaps antibiotics, nebulising, inhalers

10/17/19 by Linda Galbraith 2500

Voriconazole is recommended for primary treatment of invasive pulmonary aspergillosis, although combination therapy with voriconazole and echinocandin may be warranted for some high-risk patients. Antifungal therapy for invasive pulmonary aspergillosis should continue for at least 6-12 weeks.

10/18/19 by Mubashar Iqbal 800

I was treated with antibiotics, prednisolone and Itraconazole after a pathology test, grew and identified Apergillosis.

10/19/19 by Pam Mars 2500

Prednisone, anti fungal medication

2/15/20 by Dayna 1700

Voriconazole for invasive aspergillosis and itraconazole for aspergilloma

8/25/20 by Coco2020 1000

Corticosteroids, Xolair, Fasenra, anti fungals

4/10/22 by patriottrader 1500

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