Laboratoire Microbiologie Santé et Environnement (LMSE), Doctoral School of Sciences and Technology, Faculty of Public Health, Lebanese University, Tripoli, Lebanon.
Groupe d'Etude des Interactions Hôte-Pathogène, GEIHP, EA 3142, SFR ICAT 4208, UNIV Angers, UNIV Brest, Institut de Biologie en Santé, IRIS, CHU Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
J Mycol Med. 2019 Sep;29(3):245-252. doi: 10.1016/j.mycmed.2019.07.006. Epub 2019 Jul 26.
In recent decades, the epidemiology of invasive candidiasis (IC) has progressively changed worldwide. This notably includes emergence of several Candida species. Although some surveillance programs provided global trends in IC epidemiology, data from countries from the Middle East and North Africa (MENA) remain scarce. In this manuscript, we reviewed the existing available data on the epidemiology of Candida species associated with IC, particularly candidemia, in MENA region regarding species distribution. As witnessed worldwide, an evident shift of Candidaalbicans towards non-albicansCandida (NAC) has been observed in the MENA region. The worrying emergence of multi-drug resistant Candida species in MENA calls for a better understanding of their epidemiology. This represents an essential prerequisite for the implementation of effective infection control strategies and surveillance systems to prevent IC among high-risk patients.
近几十年来，侵袭性念珠菌病（IC）的流行病学在全球范围内发生了变化。这包括几种念珠菌属的出现。尽管一些监测项目提供了 IC 流行病学的全球趋势，但来自中东和北非（MENA）国家的数据仍然很少。在本文中，我们回顾了关于 MENA 地区与 IC 相关的念珠菌属物种（特别是念珠菌血症）的流行病学现有数据，特别是有关物种分布的情况。与全球所见的情况一样，在 MENA 地区也观察到白色念珠菌向非白色念珠菌（NAC）的明显转变。MENA 地区耐多药念珠菌属物种的令人担忧的出现需要更好地了解其流行病学。这是实施有效的感染控制策略和监测系统以预防高危患者发生 IC 的必要前提。
