Suppr超能文献

血液系统疾病患者侵袭性酵母菌感染的流行病学及特征:一项为期12年的单中心回顾性队列研究

Epidemiology and Characteristics of Invasive Yeast Infections in Patients with Hematologic Diseases: 12-Year Single-Center Retrospective Cohort Study.

作者信息

Kim Dong Young, Oh Keon, Song Minseung, Kweon Hyemin, Nho Dukhee, Hong Hanter, Lee Raeseok, Lee Dong-Gun, Cho Sung-Yeon

机构信息

Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

Division of Infectious Diseases, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

出版信息

J Fungi (Basel). 2025 Aug 8;11(8):585. doi: 10.3390/jof11080585.

Abstract

Invasive yeast infections (IYIs) remain a significant cause of morbidity and mortality in patients with hematologic diseases. We retrospectively analyzed 193 IYI episodes among 179 patients admitted to a tertiary hematology hospital (2012-2023). species accounted for 91.7% (n = 177), while non- yeasts comprised 8.3% (n = 16). Among invasive candidiasis, non- spp. were predominant, representing 76.8% (136/177), with (36.2%, 64/177) being the most frequently isolated species. Among non- yeasts, (n = 10) was the most commonly identified pathogen. The incidence and 42-day mortality rate of IYIs were 0.199 and 0.095 per 1000 patient-days, respectively. The 42-day case-fatality rate remained high at 47.7%. In categorical analysis, age >65 years, corticosteroid use, elevated lactate (>2 mmol/L), neutropenia (<500/mm), vasopressor use, and mechanical ventilation were more common in non-survivors. Primary bloodstream infections were more frequent in non-survivors, whereas catheter-related and abdominal-origin infections were predominant among survivors. Concomitant bacteremia was observed in 32.6% of IYI cases (n = 63), with being the most frequently isolated co-pathogen. Our findings illustrate the evolving epidemiology of IYIs in hematologic patients, marked by the emergence of as the predominant species, sustained mortality, and frequent bacterial co-infections, collectively reflecting the substantial clinical burden of IYIs.

摘要

侵袭性酵母菌感染(IYIs)仍是血液病患者发病和死亡的重要原因。我们回顾性分析了一家三级血液病医院(2012 - 2023年)收治的179例患者中的193次IYIs发作情况。酵母菌占91.7%(n = 177),而非酵母菌占8.3%(n = 16)。在侵袭性念珠菌病中,非白色念珠菌属占主导,占76.8%(136/177),白色念珠菌(36.2%,64/177)是最常分离出的菌种。在非酵母菌中,光滑念珠菌(n = 10)是最常鉴定出的病原体。IYIs的发病率和42天死亡率分别为每1000患者日0.199和0.095。42天病死率仍高达47.7%。在分类分析中,年龄>65岁、使用皮质类固醇、乳酸升高(>2 mmol/L)、中性粒细胞减少(<500/mm³)、使用血管升压药和机械通气在非幸存者中更为常见。非幸存者中原发性血流感染更频繁,而导管相关感染和腹腔源性感染在幸存者中占主导。32.6%的IYI病例(n = 63)观察到合并菌血症,大肠埃希菌是最常分离出的合并病原体。我们的研究结果表明血液病患者中IYIs的流行病学在不断演变,其特征为白色念珠菌成为主要菌种、持续的死亡率以及频繁的细菌合并感染,共同反映了IYIs巨大的临床负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfbc/12387301/1b1b50a4c021/jof-11-00585-g001.jpg

相似文献

2
Multidrug-Resistant Candida in Bloodstream Infections: A Growing Concern in Indian Healthcare.
Cureus. 2025 Jun 5;17(6):e85420. doi: 10.7759/cureus.85420. eCollection 2025 Jun.
3
Invasive Candidiasis in Pediatric Hematologic Malignancy: Increased Risk of Dissemination With Candida tropicalis.
Pediatr Infect Dis J. 2025 Jan 1;44(1):58-63. doi: 10.1097/INF.0000000000004502. Epub 2024 Oct 2.
9
Epidemiology of Candidemia in Children and Neonates in Korea, 2009-2018: A Multi-Center Study.
J Korean Med Sci. 2025 Aug 11;40(31):e201. doi: 10.3346/jkms.2025.40.e201.
10
Clinical Outcomes of Critically Ill Patients with spp. Peritonitis: A Retrospective Cohort Study.
J Fungi (Basel). 2025 Jul 29;11(8):562. doi: 10.3390/jof11080562.

本文引用的文献

2
A mouse model of immunosuppression facilitates oral biofilms, bacterial dysbiosis and dissemination of infection.
Front Cell Infect Microbiol. 2025 Jan 20;14:1467896. doi: 10.3389/fcimb.2024.1467896. eCollection 2024.
4
Enterococcus faecium: evolution, adaptation, pathogenesis and emerging therapeutics.
Nat Rev Microbiol. 2024 Nov;22(11):705-721. doi: 10.1038/s41579-024-01058-6. Epub 2024 Jun 18.
6
Epidemiological patterns of candidaemia: A comprehensive analysis over a decade.
Mycoses. 2024 May;67(5):e13729. doi: 10.1111/myc.13729.
7
Invasive candidiasis.
Nat Rev Dis Primers. 2024 Mar 21;10(1):20. doi: 10.1038/s41572-024-00503-3.
8
Risk factors for invasive fungal infections after haematopoietic stem cell transplantation: a systematic review and meta-analysis.
Clin Microbiol Infect. 2024 May;30(5):601-610. doi: 10.1016/j.cmi.2024.01.005. Epub 2024 Jan 26.
9
Global incidence and mortality of severe fungal disease.
Lancet Infect Dis. 2024 Jul;24(7):e428-e438. doi: 10.1016/S1473-3099(23)00692-8. Epub 2024 Jan 12.
10
Epidemiology of Invasive Candidiasis in Patients with Hematologic Malignancy on Antifungal Prophylaxis.
Mycopathologia. 2023 Dec;188(6):885-892. doi: 10.1007/s11046-023-00754-w. Epub 2023 Jun 14.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验