Cuenca-Estrella Manuel, Bernal-Martinez Leticia, Buitrago Maria José, Castelli Maria Victoria, Gomez-Lopez Alicia, Zaragoza Oscar, Rodriguez-Tudela Juan Luis
Servicio de Micología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
Int J Antimicrob Agents. 2008 Nov;32 Suppl 2:S143-7. doi: 10.1016/S0924-8579(08)70016-5.
In recent years, the most important advances in the treatment of transplant recipients, patients with haematological neoplasm and critically ill patients have been accompanied by an increase in the incidence of common fungal diseases and the emergence of some less common ones. Although new techniques (e.g. galactomannan detection) and new antifungals have appeared, these opportunistic infections remain difficult to diagnose and have a high mortality. New diagnostic techniques could improve this outlook, although they are far from becoming available in daily practice.
近年来,移植受者、血液系统肿瘤患者和重症患者治疗方面最重要的进展伴随着常见真菌疾病发病率的上升以及一些罕见真菌疾病的出现。尽管出现了新技术(如半乳甘露聚糖检测)和新型抗真菌药物,但这些机会性感染仍然难以诊断且死亡率很高。新的诊断技术可能会改善这种状况,不过距离在日常实践中广泛应用还很遥远。