The changing epidemiology of fungal infections

IF 8.7 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Molecular Aspects of Medicine Pub Date : 2023-10-05 DOI:10.1016/j.mam.2023.101215
Cornelia Lass-Flörl, Stephan Steixner
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Abstract

Invasive fungal diseases are common complications in critically ill patients and in those with significant underlying imbalanced immune systems. Fungal co-, and/or super-infections are emerging and have become a rising concern within the last few years. In Europe, cases of candidiasis and aspergillosis dominate, followed by mucormycosis in India. Epidemiological studies show an increasing trend in the incidence of all three entities. Parallel to this, a shift within the underlying fungal pathogens is observed. More non-albicans Candida infections and aspergillosis with cryptic species are on the rise; cryptic species may cover intrinsic resistance to azoles and other antifungal drugs. The recent COVID-19 pandemic led to a significantly increasing incidence of invasive fungal diseases among hospitalized patients.

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真菌感染的流行病学变化。
侵袭性真菌疾病是危重患者和潜在免疫系统严重失衡患者的常见并发症。真菌合并感染和/或超级感染正在出现,在过去几年里已经成为一个越来越令人担忧的问题。在欧洲,念珠菌感染和曲霉菌病的病例占主导地位,其次是印度的毛霉菌病。流行病学研究显示,这三种疾病的发病率都呈上升趋势。与此平行,观察到潜在真菌病原体内部的变化。更多的非白色念珠菌感染和具有隐蔽物种的曲霉菌病呈上升趋势;隐蔽物种可能涵盖对唑类和其他抗真菌药物的内在耐药性。最近的新冠肺炎大流行导致住院患者中侵袭性真菌疾病的发病率显著增加。
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来源期刊
Molecular Aspects of Medicine
Molecular Aspects of Medicine 医学-生化与分子生物学
CiteScore
18.20
自引率
0.00%
发文量
85
审稿时长
55 days
期刊介绍: Molecular Aspects of Medicine is a review journal that serves as an official publication of the International Union of Biochemistry and Molecular Biology. It caters to physicians and biomedical scientists and aims to bridge the gap between these two fields. The journal encourages practicing clinical scientists to contribute by providing extended reviews on the molecular aspects of a specific medical field. These articles are written in a way that appeals to both doctors who may struggle with basic science and basic scientists who may have limited awareness of clinical practice issues. The journal covers a wide range of medical topics to showcase the molecular insights gained from basic science and highlight the challenging problems that medicine presents to the scientific community.
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