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应对潜在威胁:管理住院新生儿的侵袭性感染

Addressing the silent threat: managing invasive infections in hospitalized newborns.

作者信息

Zhang Deshuang, Xie Dongke, Yuan Haokun, He Na, Dong Wenbin, Lei Xiaoping

机构信息

Department of Neonatology, Children's Medical Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Front Pediatr. 2025 Jul 17;13:1613832. doi: 10.3389/fped.2025.1613832. eCollection 2025.

Abstract

Invasive fungal infections (IFIs) remain an important problem for hospitalized newborn infants receiving intensive care, given their substantial morbidity and mortality. species ( spp.) are the major fungal pathogens, which cause the so-called invasive infections (ICIs). Of these, is the most commonly isolated species, followed by . Other identified spp. include , , , etc. However, an increasing shift in the epidemiology of ICIs worldwide has been described, non- (NAC) spp. ICIs pose a growing threat to neonates. Herein, we examine the epidemiology of spp. infections, patterns of antifungal resistance, risk factors, prevention strategies, clinical outcomes, and treatment recommendations for ICIs in hospitalized newborn infants. This review aims to provide a thorough understanding of the current evidence on ICIs to better inform targeted prevention strategies and improved treatments to reduce neonatal morbidity and mortality.

摘要

侵袭性真菌感染(IFI)对于接受重症监护的住院新生儿来说仍然是一个重要问题,因为其具有较高的发病率和死亡率。念珠菌属( spp.)是主要的真菌病原体,可引起所谓的侵袭性念珠菌感染(ICI)。其中,白色念珠菌是最常分离出的菌种,其次是光滑念珠菌。其他已鉴定的念珠菌属菌种包括热带念珠菌、近平滑念珠菌、克柔念珠菌等。然而,全球范围内ICI的流行病学已出现越来越明显的变化,非白色念珠菌(NAC)属菌种引起的ICI对新生儿构成了日益严重的威胁。在此,我们研究了住院新生儿ICI中念珠菌属菌种感染的流行病学、抗真菌耐药模式、危险因素、预防策略、临床结局及治疗建议。本综述旨在全面了解有关ICI的现有证据,以便更好地为针对性预防策略和改进治疗方法提供参考,从而降低新生儿的发病率和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8054/12310728/9196ec14e64a/fped-13-1613832-g001.jpg

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