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Drug-Resistant spp.: A Literature Review of Its Resistance Mechanisms and Its Prevalence in Europe.

作者信息

De Francesco Maria Antonia

机构信息

Department of Molecular and Translational Medicine, Institute of Microbiology, University of Brescia, ASST Spedali Civili, 25123 Brescia, Italy.

出版信息

Pathogens. 2023 Oct 31;12(11):1305. doi: 10.3390/pathogens12111305.


DOI:10.3390/pathogens12111305
PMID:38003770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10674884/
Abstract

Infections due to the species constitute an important challenge for human health. Invasive aspergillosis represents a life-threatening disease, mostly in patients with immune defects. Drugs used for fungal infections comprise amphotericin B, triazoles, and echinocandins. However, in the last decade, an increased emergence of azole-resistant strains has been reported, principally belonging to species. Therefore, both the early diagnosis of aspergillosis and its epidemiological surveillance are very important to establish the correct antifungal therapy and to ensure a successful patient outcome. In this paper, a literature review is performed to analyze the prevalence of antifungal resistance in European countries. Amphotericin B resistance is observed in 2.6% and 10.8% of isolates in Denmark and Greece, respectively. A prevalence of 84% of amphotericin B-resistant isolates is reported in France, followed by 49.4%, 35.1%, 21.7%, and 20% in Spain, Portugal, Greece, and amphotericin B resistance of isolates is observed in Greece and Belgium with a prevalence of 75% and 12.8%, respectively. The prevalence of triazole resistance of isolates, the most studied mold obtained from the included studies, is 0.3% in Austria, 1% in Greece, 1.2% in Switzerland, 2.1% in France, 3.9% in Portugal, 4.9% in Italy, 5.3% in Germany, 6.1% in Denmark, 7.4% in Spain, 8.3% in Belgium, 11% in the Netherlands, and 13.2% in the United Kingdom. The mechanism of resistance is mainly driven by the TR/L98H mutation. In Europe, no in vivo resistance is reported for echinocandins. Future studies are needed to implement the knowledge on the spread of drug-resistant spp. with the aim of defining optimal treatment strategies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/9e08507a1aaf/pathogens-12-01305-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/60c5f6d060be/pathogens-12-01305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/baf5ab74f1ce/pathogens-12-01305-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/f4d4801ded41/pathogens-12-01305-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/901241ae09db/pathogens-12-01305-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/3fa8b65d7725/pathogens-12-01305-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/9e08507a1aaf/pathogens-12-01305-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/60c5f6d060be/pathogens-12-01305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/baf5ab74f1ce/pathogens-12-01305-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/f4d4801ded41/pathogens-12-01305-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/901241ae09db/pathogens-12-01305-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/3fa8b65d7725/pathogens-12-01305-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5be/10674884/9e08507a1aaf/pathogens-12-01305-g006.jpg

相似文献

[1]
Drug-Resistant spp.: A Literature Review of Its Resistance Mechanisms and Its Prevalence in Europe.

Pathogens. 2023-10-31

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[7]
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[8]
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[10]
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引用本文的文献

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Pharmaceuticals (Basel). 2025-8-19

[2]
Antifungal Agents in the 21st Century: Advances, Challenges, and Future Perspectives.

Infect Dis Rep. 2025-8-1

[3]
Adaptation Under Pressure: Resistance and Stress Response Interplay in Clinical Isolates.

J Fungi (Basel). 2025-6-2

[4]
Is neutropenia still the main risk factor for invasive aspergillosis? A contemporary university hospital retrospective cohort of invasive aspergillosis in neutropenic and non-neutropenic patients.

Ann Clin Microbiol Antimicrob. 2025-4-25

[5]
New Challenges in the Diagnosis and Treatment of Primary Cutaneous Aspergillosis in Extensive Pediatric Burns.

J Fungi (Basel). 2025-4-2

[6]
Antifungal Resistance in Non-fumigatus Aspergillus Species.

Mycoses. 2025-4

[7]
Fungi as an emerging waterborne health concern: impact of treated wastewater discharge aerosolization.

Environ Sci Process Impacts. 2025-4-16

[8]
Invasive Aspergillosis in the Intensive Care Unit.

J Fungi (Basel). 2025-1-17

[9]
The Significance of Mono- and Dual-Effective Agents in the Development of New Antifungal Strategies.

Chem Biol Drug Des. 2025-1

[10]
Pathogenic Aspergillus spp. and Candida spp. in coastal waters from southern Brazil: an one health approach.

Braz J Microbiol. 2025-3

本文引用的文献

[1]
Trends in the Prevalence of Amphotericin B-Resistance (AmBR) among Clinical Isolates of Aspergillus Species.

J Mycol Med. 2022-11

[2]
Horizontal Gene Transfer of Triazole Resistance in Aspergillus fumigatus.

Microbiol Spectr. 2022-6-29

[3]
Population genomics confirms acquisition of drug-resistant Aspergillus fumigatus infection by humans from the environment.

Nat Microbiol. 2022-5

[4]
Azole resistance in Aspergillus fumigatus. The first 2-year's Data from the Danish National Surveillance Study, 2018-2020.

Mycoses. 2022-4

[5]
Azole resistance in Aspergillus fumigatus isolates from respiratory specimens in Lyon University Hospitals, France: prevalence and mechanisms involved.

Int J Antimicrob Agents. 2021-12

[6]
Stable prevalence of triazole-resistance in Aspergillus fumigatus complex clinical isolates in a Belgian tertiary care center from 2016 to 2020.

J Infect Chemother. 2021-12

[7]
Aspergillus fumigatus biofilms: Toward understanding how growth as a multicellular network increases antifungal resistance and disease progression.

PLoS Pathog. 2021-8

[8]
Azole-resistant Aspergillus fumigatus in the environment: Identifying key reservoirs and hotspots of antifungal resistance.

PLoS Pathog. 2021-7

[9]
Caspofungin resistance in clinical Aspergillus flavus isolates.

J Mycol Med. 2021-12

[10]
and aspergillosis: From basics to clinics.

Stud Mycol. 2021-5-10

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