Antifúngicos: lo que tenemos, lo que tendremos, lo que queremos.

D. Martínez-Méndez, M. Bravo-Acosta, Neomar Semprún-Hernández
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Abstract

It is estimated that 300 million people have some fungal infec-tion, and 1.5 million die annually because of it, similar to the mortality from tuberculosis and three times more than malaria. These numbers may be higher since mycoses are not mandatory reporting. With the lessons learned during the SARS-CoV-19 pandemic, the 2022 outbreak of Monkeypox, the resistance to antibacterial, and the recognition by the WHO that mycoses receive very little attention and resources, added to the fact that available antifungals have significant adverse effects, poor oral bioavailability and growing resistance, it is imperative to develop new antifungals with better pharmacokinetics and phar-macodynamic characteristics, a broad spectrum at affordable costs and world-wide supply. It is what we want. A huge challenge.
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抗真菌剂:我们有什么,我们将有什么,我们想要什么。
据估计,有 3 亿人患有某种真菌感染,每年有 150 万人因此而死亡,与肺结核的死亡率相近,是疟疾死亡率的三倍。这些数字可能更高,因为真菌病不是强制报告的。从 SARS-CoV-19 大流行、2022 年猴痘爆发、抗菌药耐药性等事件中吸取的教训,以及世界卫生组织认识到真菌病受到的关注和资源极少,再加上现有抗真菌药物不良反应大、口服生物利用度低、耐药性不断增加等事实,当务之急是开发出具有更好的药代动力学和药效学特性、广谱、价格合理、全球供应的新型抗真菌药物。这正是我们想要的。巨大的挑战
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