全球及多国真菌病患病率——估计精度

Global and Multi-National Prevalence of Fungal Diseases-Estimate Precision.

作者信息

Bongomin Felix, Gago Sara, Oladele Rita O, Denning David W

机构信息

The National Aspergillosis Center, Education and Research Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester M23 9LT, UK.

Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK.

出版信息

J Fungi (Basel). 2017 Oct 18;3(4):57. doi: 10.3390/jof3040057.

Abstract

Fungal diseases kill more than 1.5 million and affect over a billion people. However, they are still a neglected topic by public health authorities even though most deaths from fungal diseases are avoidable. Serious fungal infections occur as a consequence of other health problems including asthma, AIDS, cancer, organ transplantation and corticosteroid therapies. Early accurate diagnosis allows prompt antifungal therapy; however this is often delayed or unavailable leading to death, serious chronic illness or blindness. Recent global estimates have found 3,000,000 cases of chronic pulmonary aspergillosis, ~223,100 cases of cryptococcal meningitis complicating HIV/AIDS, ~700,000 cases of invasive candidiasis, ~500,000 cases of pneumonia, ~250,000 cases of invasive aspergillosis, ~100,000 cases of disseminated histoplasmosis, over 10,000,000 cases of fungal asthma and ~1,000,000 cases of fungal keratitis occur annually. Since 2013, the Leading International Fungal Education (LIFE) portal has facilitated the estimation of the burden of serious fungal infections country by country for over 5.7 billion people (>80% of the world's population). These studies have shown differences in the global burden between countries, within regions of the same country and between at risk populations. Here we interrogate the accuracy of these fungal infection burden estimates in the 43 published papers within the LIFE initiative.

摘要

真菌疾病导致超过150万人死亡,影响着超过10亿人。然而,尽管大多数真菌疾病导致的死亡是可以避免的,但它们仍然是公共卫生当局忽视的话题。严重的真菌感染是由其他健康问题引起的,包括哮喘、艾滋病、癌症、器官移植和皮质类固醇疗法。早期准确诊断可使抗真菌治疗及时进行;然而,这种治疗往往会延迟或无法进行,从而导致死亡、严重的慢性病或失明。最近的全球估计发现,每年有300万例慢性肺曲霉病、约223,100例并发艾滋病毒/艾滋病的隐球菌性脑膜炎、约70万例侵袭性念珠菌病、约50万例肺炎、约25万例侵袭性曲霉病、约10万例播散性组织胞浆菌病、超过1000万例真菌性哮喘和约100万例真菌性角膜炎。自2013年以来,国际领先真菌教育(LIFE)门户网站已协助逐国估算了超过57亿人(占世界人口的80%以上)的严重真菌感染负担。这些研究表明,不同国家之间、同一国家不同地区之间以及高危人群之间的全球负担存在差异。在此,我们对LIFE倡议中发表的43篇论文中这些真菌感染负担估计的准确性进行了审视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b826/5753159/7952ae03c9b2/jof-03-00057-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索