Duong Tra-My N, Le Minh-Hang, Le Thanh-Van, Ha Thuy T, Roudbary Maryam, Beardsley Justin
Sydney Infectious Diseases Institute, The University of Sydney, Australia.
Woolcock Institute for Medical Research, Viet Nam.
One Health. 2024 Mar 15;18:100711. doi: 10.1016/j.onehlt.2024.100711. eCollection 2024 Jun.
Invasive fungal diseases are increasing globally, causing a large burden of disease in vulnerable populations. At the same time, antifungal resistance is rapidly emerging. Affordable nationwide and regional surveillance of fungal pathogens is needed. We have adapted a citizen-science methodology developed by a United Kingdom research group to study six key fungi in Vietnam, where there is no existing formal surveillance. These pathogens were ranked as high or critical in the World Health Organization fungal priority pathogens list and recognized as major disease-causing agents in Vietnam. Secondary school students (n = 90) in Hanoi were our citizen scientists, collecting soil (n = 90) and air (n = 90) samples for fungal identification and characterisation of drug-susceptibility in the laboratory. Pilot studies confirmed the effectiveness of our revised isolation procedure, which used selective culture media to improve the isolation of target fungi. Through active school and student involvement, optimized protocols, and our cost-effective sampling, the study could be scaled across Vietnam. We demonstrate an approach to fungal surveillance which also enhances science education, and awareness of fungal diseases. It addresses critical healthcare and education challenges in Vietnam while combating the growing issues of invasive fungal diseases and antifungal resistance.
侵袭性真菌病在全球范围内呈上升趋势,给弱势群体带来了沉重的疾病负担。与此同时,抗真菌耐药性正在迅速出现。因此,需要在全国范围内和区域层面开展经济实惠的真菌病原体监测。我们采用了英国一个研究小组开发的公民科学方法,对越南的六种关键真菌进行研究,因为越南目前尚无正式的监测。这些病原体在世界卫生组织真菌重点病原体名单中被列为高优先级或关键级别,并且在越南被确认为主要病原体。河内的90名中学生成为了我们的公民科学家,他们采集了90份土壤样本和90份空气样本,用于在实验室中进行真菌鉴定和药敏特性分析。初步研究证实了我们修订后的分离程序的有效性,该程序使用选择性培养基来提高目标真菌的分离率。通过学校和学生的积极参与、优化的方案以及具有成本效益的采样,这项研究可以在越南全国范围内推广。我们展示了一种真菌监测方法,该方法还能加强科学教育以及对真菌病的认识。它在应对侵袭性真菌病和抗真菌耐药性等日益严重的问题的同时,解决了越南关键的医疗保健和教育挑战。