真菌感染流行病学的变迁。

The changing epidemiology of fungal infections.

机构信息

Institute of Hygiene and Medical Microbiology, Medical University of Innsbruck, A-6020, Innsbruck, Austria.

Institute of Hygiene and Medical Microbiology, Medical University of Innsbruck, A-6020, Innsbruck, Austria.

出版信息

Mol Aspects Med. 2023 Dec;94:101215. doi: 10.1016/j.mam.2023.101215. Epub 2023 Oct 5.

Abstract

Invasive fungal diseases are common complications in critically ill patients and in those with significant underlying imbalanced immune systems. Fungal co-, and/or super-infections are emerging and have become a rising concern within the last few years. In Europe, cases of candidiasis and aspergillosis dominate, followed by mucormycosis in India. Epidemiological studies show an increasing trend in the incidence of all three entities. Parallel to this, a shift within the underlying fungal pathogens is observed. More non-albicans Candida infections and aspergillosis with cryptic species are on the rise; cryptic species may cover intrinsic resistance to azoles and other antifungal drugs. The recent COVID-19 pandemic led to a significantly increasing incidence of invasive fungal diseases among hospitalized patients.

摘要

侵袭性真菌病是危重症患者和存在严重免疫失衡的患者的常见并发症。真菌合并感染和/或继发感染正在出现,并在过去几年中成为一个日益令人关注的问题。在欧洲,念珠菌病和曲霉病较为常见,其次是印度的毛霉病。流行病学研究显示这三种疾病的发病率都呈上升趋势。与此平行的是,潜在真菌病原体也发生了变化。更多的非白念珠菌感染和隐球菌感染以及曲霉病正在增加;隐球菌可能具有对唑类药物和其他抗真菌药物的固有耐药性。最近的 COVID-19 大流行导致住院患者侵袭性真菌病的发病率显著增加。

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