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Histopathology in the Diagnosis of Invasive Fungal Diseases 组织病理学在侵袭性真菌疾病诊断中的应用
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2021-02-17 DOI: 10.1007/s12281-021-00412-y
H. Jensen
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引用次数: 5
Molecular Diagnosis of Yeast Infections. 酵母菌感染的分子诊断
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.1007/s12281-021-00421-x
P Lewis White, Jessica S Price, Alan Cordey, Matthijs Backx

Purpose of review: The use of molecular tests to aid the diagnosis of invasive yeast infection, in particular invasive candidosis, has been described for over two decades, yet widespread application is limited, and diagnosis remains heavily dependent on classical microbiology. This article will review developments from the past decade in attempt to build on existing knowledge. It will highlight clinical performance and limitations while reviewing developments on recognized procedures; it will also provide insight into novel approaches incorporated in response to clinical demand (e.g. C. auris and antifungal resistance) or technological advances (e.g. next-generation sequencing).

Recent findings: Limited methodological standardization and, until recently, unavailability of commercial options have hindered the integration of molecular diagnostics for yeasts. The development of certain, novel commercial methods has received considerable evaluation allowing a greater understanding of individual assay performance, but widespread multicentre evaluation of most commercial kits is lacking. The detection of emerging pathogens (e.g. C. auris) has been enhanced by the development of molecular tests. Molecular methods are providing a better understanding of the mycobiome, mechanisms of resistance and epidemiology/phylogeny.

Summary: Despite over two decades of use, the incorporation of molecular methods to enhance the diagnosis of yeast infections remains limited to certain specialist centres. While the development of commercial tests will provide stimulus for broader application, further validation and reduced costs are required. Over the same period of time, Aspergillus PCR has become more widely accepted driven by international efforts to standardize methodology; it is critical that yeast PCR follows suit. Next-generation sequencing will provide significant information on the mycobiome, antifungal resistance mechanism and even broad-range detection directly from the specimen, which may be critical for the molecular detection of yeasts other than Candida species, which is currently limited.

回顾的目的:使用分子检测来帮助诊断侵袭性酵母菌感染,特别是侵袭性念珠菌病,已经描述了二十多年,但广泛的应用是有限的,诊断仍然严重依赖于传统的微生物学。本文将回顾过去十年的发展,试图以现有知识为基础。它将强调临床表现和局限性,同时审查公认程序的发展;它还将为响应临床需求(如金黄色葡萄球菌和抗真菌耐药性)或技术进步(如下一代测序)而采用的新方法提供见解。最近的发现:方法标准化有限,直到最近,商业选择的缺乏阻碍了酵母分子诊断的整合。某些新的商业方法的发展已经得到了相当大的评价,可以更好地了解单个分析的性能,但缺乏对大多数商业试剂盒的广泛的多中心评估。由于分子检测技术的发展,新出现的病原体(如金黄色葡萄球菌)的检测得到了加强。分子方法有助于更好地了解真菌组、耐药机制和流行病学/系统发育。摘要:尽管使用了二十多年,结合分子方法来提高酵母菌感染的诊断仍然局限于某些专科中心。虽然商业测试的发展将促进更广泛的应用,但需要进一步的验证和降低成本。在同一时期,曲霉PCR已成为更广泛接受的国际努力标准化的方法驱动;关键是酵母PCR也要跟着做。下一代测序将提供有关真菌组、抗真菌耐药性机制的重要信息,甚至可以直接从标本中进行大范围检测,这可能对目前有限的念珠菌以外的酵母菌的分子检测至关重要。
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引用次数: 14
Skin Fungal Infections in Children: Diagnostic Challenges 儿童皮肤真菌感染:诊断挑战
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-11-23 DOI: 10.1007/s12281-020-00407-1
M. García-Romero, Gabriela Sánchez-Cárdenas, S. Carmona-Cruz, M. Fernández-Sánchez
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引用次数: 0
Implementation of Effective Antifungal Stewardship in Cancer Patients—A Review of Current Evidence 在癌症患者中实施有效的抗真菌管理——对现有证据的回顾
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-11-09 DOI: 10.1007/s12281-020-00408-0
A. Khanina, A. Douglas, K. Thursky
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引用次数: 1
Management of Mucormycosis 毛霉病的处理
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-09-29 DOI: 10.1007/s12281-020-00406-2
A. Chakrabarti, Shreya Singh
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引用次数: 8
Cladorrhinum Bulbillosum Keratitis: Unraveling an Unusual Infection 球囊性角膜炎:一种不寻常的感染
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-09-01 DOI: 10.1007/s12281-020-00405-3
R. Natarajan, Samip Mehta
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引用次数: 2
Interpretation and Understanding of Clinical Drug Interactions Between Azoles and Immunosuppressants in Solid Organ Transplant Recipients 在实体器官移植受者中,唑类药物与免疫抑制剂之间的临床药物相互作用的解释和理解
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-08-06 DOI: 10.1007/s12281-020-00404-4
Kathryn Dzintars, Lindsey P Toman
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引用次数: 1
Invasive Fungal Keratitis as an Uncommon Form of Mucormycosis Leading to Endophthalmitis: Report of Two Cases and Literature Review 侵袭性真菌性角膜炎是一种罕见的导致眼内炎的毛霉菌病:2例报告并文献复习
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-07-20 DOI: 10.1007/s12281-020-00403-5
M. Khalili, Seyed Mohammad Bagher Abtahi, Mehrnaz Atighehchian, S. Hosseini, M. Shirvani, E. Sadeghi, M. Ghanbari, M. Eghtedari
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引用次数: 3
Antifungal and Antibacterial Activity of Terpenes for Improvement of Indoor Air Quality 萜烯类化合物对改善室内空气质量的抗菌作用
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-06-30 DOI: 10.1007/s12281-020-00397-0
Dulcilena Matos Castro Silva, Raquel Keiko Luca Ito, L. Bonfietti, M. W. Szeszs, Artur Luiz Rocha, N. Viola, E. Abdala, Márcia Souza Carvalho Melhem
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引用次数: 0
Pharmacokinetics and Pharmacodynamics of Antifungal Agents in Neonates and Children 新生儿和儿童抗真菌药物的药代动力学和药效学
IF 1.4 Q3 INFECTIOUS DISEASES Pub Date : 2020-06-29 DOI: 10.1007/s12281-020-00402-6
C. Antachopoulos, E. Roilides
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引用次数: 0
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Current Fungal Infection Reports
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