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常用于治疗浅表和黏膜念珠菌病的抗真菌药物:作用方式与耐药性产生

Antifungal agents commonly used in the superficial and mucosal candidiasis treatment: mode of action and resistance development.

作者信息

Bondaryk Małgorzata, Kurzątkowski Wiesław, Staniszewska Monika

机构信息

National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland. Head: Prof. Mirosław J. Wysocki.

出版信息

Postepy Dermatol Alergol. 2013 Oct;30(5):293-301. doi: 10.5114/pdia.2013.38358. Epub 2013 Oct 30.

Abstract

Recent progress in medical sciences and therapy resulted in an increased number of immunocompromised individuals. Candida albicans is the leading opportunistic fungal pathogen causing infections in humans, ranging from superficial mucosal lesions to disseminated or bloodstream candidiasis. Superficial candidiasis not always presents a risk to the life of the infected host, however it significantly lowers the quality of life. Superficial Candida infections are difficult to treat and their frequency of occurrence is currently rising. To implement successful treatment doctors should be up to date with better understanding of C. albicans resistance mechanisms. Despite high frequency of Candida infections there is a limited number of antimycotics available for therapy. This review focuses on current understanding of the mode of action and resistance mechanisms to conventional and emerging antifungal agents for treatment of superficial and mucosal candidiasis.

摘要

医学科学和治疗方面的最新进展导致免疫功能低下个体数量增加。白色念珠菌是导致人类感染的主要机会性真菌病原体,感染范围从浅表粘膜病变到播散性或血流念珠菌病。浅表念珠菌病并不总是对受感染宿主的生命构成威胁,然而它会显著降低生活质量。浅表念珠菌感染难以治疗,且其发生频率目前正在上升。为了实施成功的治疗,医生应与时俱进,更好地了解白色念珠菌的耐药机制。尽管念珠菌感染的频率很高,但可用于治疗的抗真菌药物数量有限。本综述重点关注目前对治疗浅表和粘膜念珠菌病的传统和新型抗真菌药物的作用方式和耐药机制的理解。

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