Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Universidade La Salle, Canoas, Brazil.
Mycoses. 2019 Apr;62(4):368-373. doi: 10.1111/myc.12890. Epub 2019 Feb 20.
Despite the existence of endemic mycoses in Latin America and the Caribbean, in addition to a large population of patients at risk for invasive mycoses, the capability of medical centres to perform a proper diagnosis in mycology has not been studied in the region. Moreover, availability of antifungal drugs in the region is unknown. Here, we report the results of a survey involving 129 centres in 24 countries. Only 9% of centres would have the potential to apply for the minimum standards in mycology, as determined by the European Confederation of Medical Mycology. There is an urgent need to improve diagnostic conditions in Latin America and the Caribbean, as well as providing access to safer and more efficacious antifungal drugs.
尽管拉丁美洲和加勒比地区存在地方性真菌病,并且有大量罹患侵袭性真菌病的高危患者,但该地区尚未对医学中心进行适当的真菌学诊断的能力进行研究。此外,该地区抗真菌药物的供应情况也不清楚。在这里,我们报告了一项涉及 24 个国家的 129 个中心的调查结果。只有 9%的中心有可能达到欧洲医学真菌学联合会确定的最低真菌学标准。迫切需要改善拉丁美洲和加勒比地区的诊断条件,并提供更安全、更有效的抗真菌药物。