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. 2021 Jun 23;47(8):819–834. doi: 10.1007/s00134-021-06449-4

Table 6.

Research agenda in CAPA

Epidemiology

Determine the true epidemiology of CAPA

Frequency of IATB in CAPA

Identification of host/risk factors

Diagnosis

Markers that discriminate between Aspergillus respiratory tract colonization and tissue invasion

Validation of Aspergillus biomarkers in NBL and BA/TA

Determine the immune status of the host (e.g. FACS)

Strategy

Role for antifungal prophylaxis

Management of COVID-19 patients with positive upper respiratory tract culture

Antifungal agents

Benefit of nebulized antifungals in IATB

Role of liposomal amphotericin B in the ICU-setting

Effect of sequestration and drug interactions of antifungals on exposure (i.e. ECMO; CRRT)

Therapy

Implications of antiviral and host-directed therapy for CAPA risk and outcome

Host directed therapy: dampening or boosting immune response or both, dependent on host immune status