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Correction: Mourou et al. Diversity of Fungi Associated with Diseases of Cultivated Brassicaceae in Southern Italy. J. Fungi 2026, 12, 13. 更正:Mourou等人。意大利南部栽培十字花科植物病害真菌多样性研究。[j] .中国生物医学工程学报,2016,33(2):481 - 481。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-13 DOI: 10.3390/jof12020139
Marwa Mourou, Maria Luisa Raimondo, Milan Spetik, Francesco Lops, Gaetana Ricciardi, Maria Grazia Morea, Ales Eichmeier, Antonia Carlucci

There was an error in the original publication [...].

原文中有个错误[…]
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引用次数: 0
Can Artificial Intelligence Optimize the Early Diagnosis of Invasive Candidiasis? A Systematic Review and Meta-Analysis. 人工智能能优化侵袭性念珠菌病的早期诊断吗?系统回顾和荟萃分析。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-13 DOI: 10.3390/jof12020138
Hugo Almeida, Beatriz Rodríguez-Alonso, Montserrat Alonso-Sardón, Inmaculada Izquierdo, Ángela Romero-Alegría, Virginia Velasco-Tirado, Josué Pendones Ulerio, Javier Pardo Lledías, Moncef Belhassen-García

The early diagnosis of invasive candidiasis remains challenging in immunocompromised and other high-risk patients, prompting interest in artificial intelligence models for assisting clinical decision-making. We conducted a PROSPERO-registered systematic review and meta-analysis of artificial intelligence-based predictive models for the early identification of invasive Candida infections. We searched multiple databases for studies reporting model performance in hospitalized immuno-compromised patients. Data on study characteristics, model details, validation strategy, and diagnostic accuracy were extracted. A bivariate random-effects meta-analysis was performed for candidemia prediction models with compatible data. Eight studies met inclusion criteria. Models were typically developed using retrospective hospital data with heterogeneous populations and predictors. Five candidemia studies provided threshold-based performance data for meta-analysis. Pooled sensitivity and specificity for candidemia prediction were 81.3% (95% confidence interval (CI) 72.9-87.6%) and 81.6% (95% CI 68.4-90.1%), respectively. Most models achieved high negative predictive values, whereas positive predictive values were modest, reflecting low event prevalence. The risk of bias was generally moderate to high (PROBAST), and the certainty of evidence was low (GRADE) due to study limitations and indirectness. AI models show promise for early candidemia identification with moderate diagnostic accuracy. They may be useful as decision-support tools, but further multicenter prospective validation is needed before routine clinical adoption.

侵袭性念珠菌病的早期诊断在免疫功能低下和其他高危患者中仍然具有挑战性,这促使人们对人工智能模型的兴趣,以协助临床决策。我们对侵袭性念珠菌感染早期识别的基于人工智能的预测模型进行了普洛斯罗注册的系统回顾和荟萃分析。我们在多个数据库中检索了报告模型在住院免疫功能低下患者中的表现的研究。提取有关研究特征、模型细节、验证策略和诊断准确性的数据。对具有相容数据的念珠菌预测模型进行双变量随机效应荟萃分析。8项研究符合纳入标准。模型通常使用具有异质人群和预测因子的回顾性医院数据开发。五项念珠菌研究为meta分析提供了基于阈值的表现数据。预测念珠菌的总敏感性和特异性分别为81.3%(95%可信区间(CI) 72.9-87.6%)和81.6% (95% CI 68.4-90.1%)。大多数模型获得了很高的负预测值,而正预测值则是适度的,反映了低事件发生率。偏倚风险一般为中高(PROBAST),由于研究局限性和间接性,证据的确定性较低(GRADE)。人工智能模型显示出早期念珠菌识别的希望,具有中等的诊断准确性。它们可能作为决策支持工具有用,但在常规临床应用之前需要进一步的多中心前瞻性验证。
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引用次数: 0
An Ammonium Transporter Gene Contributes to the Aggressiveness of the Dutch Elm Disease Pathogen Ophiostoma novo-ulmi. 一个铵转运蛋白基因与荷兰榆树病病原菌新梢蛇瘤的侵袭性有关。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-13 DOI: 10.3390/jof12020137
Louis Bernier, Thais C de Oliveira, Josée-Anne Majeau, Karine V Plourde, Volker Jacobi, Philippe Tanguay, Paul Y de la Bastide, Will E Hintz, Ilga M Porth, Josée Dufour, Pauline Hessenauer, Christine A Roden, Cloé Laflamme, Lucie Varlet

Molecular mechanisms determining pathogenicity of the Dutch elm disease fungus Ophiostoma novo-ulmi are poorly understood. Prior identification of the pathogenicity locus pat1 prompted a chromosome walking approach to elucidate gene function in this region. Among 17 identified genes, ONUg0282 (amtA) was predicted to encode a high-affinity ammonium transporter. In silico analyses confirmed the presence of four additional amt genes (amtB, amtC, amtD, and amtE) in both O. novo-ulmi and the less aggressive O. ulmi and that amtA and amtB belong to the Saccharomyces cerevisiae mep2 clade. The predicted amtA gene product showed features of Mep2-type transceptors, including amino acid residues corresponding to His-168 and His-318 in Escherichia coli AmtB protein, 11 transmembrane helices, and a conserved 22 amino acid motif immediately downstream of the last transmembrane helix. A knockdown amtA mutant with 25% residual expression was significantly less aggressive than wild-type O. novo-ulmi strain H327 when infecting Ulmus americana × U. parvifolia saplings. Predicted AmtA transporters from two CRISPR-Cas9 knockout mutants contained only five intact transmembrane helices. The ΔamtA mutants retained several wild-type phenotypic traits, including yeast-mycelium dimorphism, but were significantly less aggressive than H327 towards U. americana saplings. We concluded that ONUg0282 is an important determinant of aggressiveness in O. novo-ulmi.

确定荷兰榆树病真菌新榆病病原菌致病性的分子机制尚不清楚。先前鉴定的致病位点pat1促使染色体行走方法来阐明该区域的基因功能。在鉴定的17个基因中,ONUg0282 (amtA)预计编码一个高亲和力的铵转运体。计算机分析证实,在O. novoo -ulmi和攻击性较低的O. ulmi中都存在另外4个amt基因(amtB、amtC、amtD和amtE), amtA和amtB属于酿酒酵母mep2分支。预测的amtA基因产物具有mep2型受体的特征,包括大肠杆菌AmtB蛋白中对应His-168和His-318的氨基酸残基,11个跨膜螺旋,最后一个跨膜螺旋的下游有一个保守的22个氨基酸基序。残留25%的amtA敲低突变体对美洲榆×小叶榆幼树的侵染性明显低于野生型新榆H327。来自两个CRISPR-Cas9敲除突变体的预测AmtA转运体仅包含五个完整的跨膜螺旋。ΔamtA突变体保留了几种野生型表型特征,包括酵母-菌丝二态性,但对美国树苗的侵袭性明显低于H327。研究结果表明,ONUg0282是新芽孢杆菌侵袭性的重要决定因素。
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引用次数: 0
A Near-T2T Genome Assembly of Elsinoe fawcettii Provides Insights into Host Adaptation Driven by Cis-Regulatory Evolution. 一个接近t2t的基因组组装为寄主适应的顺式调控进化提供了见解。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-13 DOI: 10.3390/jof12020141
Jiyu Su, Shujun Zhang, Qian Lu, Jie Yang, Cheng Zheng, Xiuxiu Li, Xiaofeng Chen, Hong Liu, Zonghua Wang, Hongli Hu

Elsinoe fawcettii is a devastating citrus pathogen worldwide, yet high-quality genomic resources are lacking, limiting insights into its adaptive mechanisms. Seventeen strains collected from 13 host species across 5 Chinese provinces were confirmed as E. fawcettii by multi-loci (ITS, rpb2, tef1-α) phylogenetic and morphological analyses. A near-telomere-to-telomere (near-T2T) genome for representative strain FJ-Y-3 was constructed using integrated PacBio and Hi-C sequencing. The 24.40 Mb assembly was organized into 11 chromosomes with exceptional completeness (BUSCO: 97.1%) and continuity (scaffold N50: 2.18 Mb). Pan-genome analysis revealed a closed structure, with core genes representing 77.19% of the total, suggesting evolutionary adaptation through fine-regulation of conserved elements rather than extensive gene content variation. Accessory genes were significantly enriched in terpenoid/polyketide metabolism, cell surface remodeling, and xenobiotic degradation, underscoring metabolic plasticity. Whole-genome resequencing showed single-nucleotide polymorphisms as the dominant variant, with ~60% residing in regulatory regions, implicating cis-regulation as a key adaptive mechanism. This work provides a high-quality genome and multi-omics framework for E. fawcettii, establishing a crucial molecular foundation for understanding pathogen adaptation and developing sustainable disease management strategies.

黄叶蝉是一种世界性的柑橘致病菌,但高质量的基因组资源缺乏,限制了对其适应机制的认识。通过ITS、rpb2、tef1-α多位点系统发育和形态分析,从中国5个省13个寄主种中采集的17株菌株均为福希伊蚊。采用PacBio和Hi-C测序技术构建了代表性菌株FJ-Y-3的近端粒-端粒(near- telomere- telomere, near-T2T)基因组。24.40 Mb的组装被组织成11条染色体,具有异常的完整性(BUSCO: 97.1%)和连续性(scaffold N50: 2.18 Mb)。泛基因组分析显示,其结构较为封闭,核心基因占总数的77.19%,表明其进化适应性是通过对保守元件的精细调控,而非广泛的基因含量变异。附属基因在萜类/聚酮代谢、细胞表面重塑和外源降解中显著富集,表明代谢可塑性强。全基因组重测序显示,单核苷酸多态性为优势变异,约60%位于调控区域,表明顺式调控是关键的适应机制。这项工作提供了一个高质量的基因组和多组学框架,为理解病原体适应和制定可持续的疾病管理策略奠定了重要的分子基础。
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引用次数: 0
Lipid Metabolism and Membrane Remodeling Drive Sclerotium Formation in Morchella eximia: Insights from Integrated Transcriptomics and Metabolomics. 脂质代谢和膜重塑驱动羊肚菌菌核形成:来自整合转录组学和代谢组学的见解。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-12 DOI: 10.3390/jof12020134
Chunmou Wei, Jimeng Li, Zhongmei Mo, Wei Liu, Dan Zheng, Xueyan Chen, Fulin Li, Mingfeng Tai, Jiaxin Song, Changhua Gu, Qianqian Zhang

Sclerotium formation represents a critical transition phase in the life cycle of morel, shifting from vegetative growth to dormant structures. The capacity for sclerotium formation directly influences the yield and stability of artificial cultivation. To elucidate the molecular regulatory mechanisms underlying this process, a combined transcriptomics and metabolomics approach was employed to analyze gene expression and metabolite dynamics during sclerotium development of Morchella eximia. A total of 2567 differentially expressed metabolites (DEMs) and 2314 differentially expressed genes (DEGs) were detected, primarily enriched in amino acid metabolism, lipid synthesis, and energy metabolism pathways. Amino acid metabolism facilitates protein synthesis and supplies carbon skeletons, while lipid metabolic networks, particularly de novo fatty acid synthesis from acetyl-CoA precursors, glycerophospholipid metabolism, sphingolipid metabolism, and unsaturated fatty acid biosynthesis, play a central role in sclerotium formation. A regulatory model was constructed, focusing on signal response, transcriptional regulation, nutrient transport and metabolism, morphology transition, lipid accumulation, and membrane system remodeling, demonstrating that lipids not only provide energy storage and membrane structural components for sclerotia but also mediate developmental transitions and environmental adaptation through signaling molecules and regulation of membrane properties. These findings systematically reveal the regulatory network governing morel sclerotium formation at the multi-omics level, with particular emphasis on the central role of lipid metabolism and membrane remodeling. The results offer a theoretical foundation for improving morel cultivation yield and stability through targeted metabolic regulation strategies.

菌核的形成代表了羊肚菌生命周期中一个关键的过渡阶段,从营养生长转变为休眠结构。菌核形成能力直接影响人工栽培的产量和稳定性。为了阐明这一过程的分子调控机制,采用转录组学和代谢组学相结合的方法分析了羊肚菌菌核发育过程中的基因表达和代谢物动力学。共检测到2567个差异表达代谢物(DEMs)和2314个差异表达基因(DEGs),主要富集于氨基酸代谢、脂质合成和能量代谢途径。氨基酸代谢促进蛋白质合成并提供碳骨架,而脂质代谢网络,特别是乙酰辅酶a前体从头合成脂肪酸、甘油磷脂代谢、鞘脂代谢和不饱和脂肪酸的生物合成,在核核形成中起核心作用。从信号响应、转录调控、营养物质转运与代谢、形态转变、脂质积累、膜系统重塑等方面构建了一个调控模型,表明脂质不仅为菌核提供能量储存和膜结构成分,还通过信号分子和膜特性调控介导菌核的发育转变和环境适应。这些发现系统地揭示了在多组学水平上控制霉菌菌核形成的调控网络,特别强调了脂质代谢和膜重塑的核心作用。研究结果为通过有针对性的代谢调控策略提高羊粪栽培产量和稳定性提供了理论基础。
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引用次数: 0
An Efficient and Stable PEG-Mediated Transformation System for Medicinal Fungus Ophiocordyceps xuefengensis: Optimization and Functional Validation. 高效稳定的peg介导的药用真菌雪芬虫草转化体系的优化与功能验证。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-12 DOI: 10.3390/jof12020132
Xiaoting Feng, Xinyao Sheng, Jun Liu, Rongrong Zhou, Zhongxu Yang, Xiaojuan Tang, Shuihan Zhang

Ophiocordyceps xuefengensis is an important medicinal fungus with considerable pharmaceutical and economic value. However, its industrial and scientific utilization has been severely limited by the lack of an efficient genetic transformation system, largely due to limited genomic information and wild growth. In this study, we established an efficient and stable plasmid transformation system within O. xuefengensis protoplasts mediated by PEG. To overcome low protoplast yield and transformation efficiency, key factors influencing protoplast preparation including enzyme composition and concentration, fungal age, and digestion conditions were systematically optimized. The optimal protocol involved digesting 4-day-old mycelia with a mixture of 1.5% lywallzyme 1 and 1.5% snailase at 34 °C and 130 rpm for 3.5 h, yielding at least 9.42 × 107 CFU/mL protoplasts. Protoplast regeneration was significantly enhanced in PY medium supplemented with 0.6 M mannitol. Under these optimized conditions, a transformation efficiency of 45.5% was achieved, with stable plasmid integration confirmed over four successive generations. Furthermore, the transformation system was successfully applied to functional gene characterization by driving exogenous gene expression using the endogenous gpd1 promoter. This study provides a foundational platform for functional gene analysis and paves the way for further elucidation of growth and development mechanisms and metabolic engineering in O. xuefengensis.

雪芬蛇虫草是一种重要的药用真菌,具有相当的药用价值和经济价值。然而,由于缺乏有效的遗传转化系统,其工业和科学利用受到严重限制,这主要是由于有限的基因组信息和野生生长。在本研究中,我们建立了一个高效稳定的质粒转化体系,该体系由PEG介导。为了克服原生质体产量和转化效率低的问题,系统优化了影响原生质体制备的关键因素,包括酶组成和浓度、真菌年龄和消化条件。最佳方案是在34℃、130 rpm条件下,用1.5%溶菌酶1和1.5%蜗牛酶的混合物消化4日龄菌丝3.5 h,产生至少9.42 × 107 CFU/mL的原生质体。在添加0.6 M甘露醇的PY培养基中,原生质体再生明显增强。在此优化条件下,转化效率达到45.5%,连续4代质粒整合稳定。此外,利用内源gpd1启动子驱动外源基因表达,成功地将该转化系统应用于功能基因表征。该研究为功能基因分析提供了基础平台,为进一步阐明雪芬草的生长发育机制和代谢工程奠定了基础。
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引用次数: 0
Genome-Wide Landscape of Position Effect Variegation in Pichia pastoris. 毕赤酵母位置效应变异的全基因组图谱。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-12 DOI: 10.3390/jof12020136
Xueyan Yao, Baosong Chen, Zhihui Zhang, Wenyan Gao, Qian Zhang, Yongpeng Yao, Yuanyuan Pan, Gang Liu

Exogenous genes are generally expressed by integration into the chromosomes of Pichia pastoris. However, systematic studies on the chromosomal position effect are lacking, and locations that are conducive to the high expression of foreign genes are rarely reported. In this study, a genomic random insertion mutagenesis library for P. pastoris was successfully constructed using the piggyBac (PB) transposon system. Through sequencing, the sequence TTAA was identified as the major recognition site of the PB transposon, which exhibited relatively high coverage on P. pastoris chromosomes, making it a valuable tool for studying position effect variegation in P. pastoris. Using the enhanced green fluorescent protein gene (eGFP) as a reporter, two libraries including low-expression positions and high-expression positions were obtained by flow cytometry. The low-expression sites were mainly located upstream of ORFs around the promoter region and downstream near the terminator region, while the high-expression sites were predominantly located at the gene interior. KEGG and GO analyses showed that genes in high-expression positions were significantly enriched in the ATP-dependent chromatin remodeling and histone binding pathways, and genes in low-expression positions were significantly enriched in the MAPK signaling pathway, autophagy, mitochondrial autophagy, ABC transporters, and the arginine synthesis pathway. This study has clarified the genome-wide landscape of position effect variegation in P. pastoris. Additionally, it has provided novel insights into high-throughput screening strategies for strains with high exogenous gene expression.

外源基因通常通过整合到毕赤酵母的染色体中来表达。然而,对染色体位置效应的系统研究尚缺乏,有利于外源基因高表达的位点也鲜有报道。本研究利用piggyBac (PB)转座子系统成功构建了巴斯德酵母基因组随机插入突变文库。通过测序,TTAA序列被确定为PB转座子的主要识别位点,该序列在pastoris染色体上具有较高的覆盖率,为研究pastoris的位置效应变异提供了有价值的工具。以增强型绿色荧光蛋白基因(eGFP)为报告基因,通过流式细胞术获得低表达位点和高表达位点两个文库。低表达位点主要位于orf上游启动子区周围和下游终止子区附近,而高表达位点主要位于基因内部。KEGG和GO分析显示,高表达位点的基因在atp依赖的染色质重塑和组蛋白结合途径中显著富集,低表达位点的基因在MAPK信号通路、自噬、线粒体自噬、ABC转运蛋白和精氨酸合成途径中显著富集。本研究阐明了巴斯德酵母位置效应变异的全基因组格局。此外,它还为外源基因高表达菌株的高通量筛选策略提供了新的见解。
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引用次数: 0
False-Positive IMMY® Serum Cryptococcal Antigen Lateral Flow Assay Results Due to Improper Use of Titration Buffer. 误报IMMY®血清隐球菌抗原侧流试验结果由于使用不当的滴定缓冲液。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-12 DOI: 10.3390/jof12020135
Asmus Tukundane, Wilber Bakka, Mercy Amanige, Dora Babirye, Timothy Mugabi, Abdu Musubire, David B Meya, David R Boulware, Brian Doherty, Richard Kwizera, Caleb P Skipper

The IMMY cryptococcal antigen (CrAg) lateral flow assay (LFA) is a reliable diagnostic tool for Cryptococcus detection, but false-positive results may arise from procedural or reagent-related errors, underscoring careful operation of the assay to ensure diagnostic accuracy and prevent unnecessary treatment. Two patients who were initially reported as CrAg-positive by a peripheral laboratory were referred to Kiruddu Hospital in Kampala, Uganda, for clinical assessment and confirmatory testing. Repeat tests were conducted using specimen diluent following the manufacturer's protocol, resulting in negative results. Semi-quantitative CrAg LFA testing and a series of control assays were performed to identify the source of error. We were able to consistently reproduce positive results when the titration diluent was inappropriately used instead of the specimen diluent. Serial dilutions confirmed persistent false positivity up to 1:80 when inappropriately using the titration diluent, while all dilutions that appropriately started with the specimen diluent remained negative. We hypothesize that the incorrect use of titration diluent instead of specimen diluent led to false-positive CrAg LFA results due to the absence of the blocking agent that neutralizes heterophilic antibodies. Procedural errors can lead to diagnostic misinterpretation and serious consequences in clinical management, emphasizing the importance of adherence to manufacturer's instructions.

IMMY隐球菌抗原(CrAg)侧流试验(LFA)是一种可靠的隐球菌检测诊断工具,但假阳性结果可能来自程序或试剂相关的错误,强调该试验的小心操作,以确保诊断准确性并防止不必要的治疗。两名最初被外围实验室报告为克雷格阳性的患者被转诊到乌干达坎帕拉的基鲁杜医院进行临床评估和确认性检测。使用样品稀释液按照制造商的方案进行重复测试,结果为阴性。采用半定量的CrAg LFA检测和一系列对照试验来确定误差来源。当不恰当地使用滴定稀释剂而不是标本稀释剂时,我们能够始终如一地再现阳性结果。当不适当地使用滴定稀释液时,连续稀释确认持续假阳性高达1:80,而所有适当地使用标本稀释液的稀释仍然为阴性。我们假设,由于缺乏中和嗜异性抗体的阻断剂,不正确地使用滴定稀释液而不是标本稀释液导致CrAg LFA结果假阳性。程序错误可导致诊断误解和临床管理的严重后果,强调遵守制造商说明的重要性。
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引用次数: 0
Optimizing Antifungal Use Through Interdisciplinary Intervention in the Hematology Unit. 通过血液科跨学科干预优化抗真菌药物的使用。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-11 DOI: 10.3390/jof12020127
Maria Alejandra Caro Flautero, Maria Camila Rubio, Edgar Fabián Manrique-Hernández, Jeimy Lorena León, Olga Daniela Vega Jiménez, Paola Cristina Álvarez Mantilla, Pilar Rivas-Pinedo, Alejandra Mendoza-Monsalve, Maricel Licht-Ardila, Alexandra Hurtado-Ortiz, Carlos Augusto Solórzano

Invasive fungal infections are frequent complications in patients with hematologic malignancies due to immunosuppression and intensive treatments. In Colombia, limited diagnostic availability, heterogeneous prescribing practices, and emerging antifungal resistance highlight the need for optimized use. We evaluated an interdisciplinary antifungal stewardship intervention in the hematology unit of a tertiary-care hospital. A quasi-experimental before-and-after study included 353 hospitalized patients receiving systemic antifungals between 1 January 2023 and 31 December 2024 (1154 prescriptions). Following the intervention, antifungal prescribing shifted toward increased prophylaxis and reduced therapeutic use, with substantial reduction in prophylactic Amphotericin B dosing, stable treatment dosing, and selective changes in agent choice, including decreased voriconazole and discontinuation of some broad-spectrum drugs. Microbiological sampling decreased, reflecting a more targeted diagnostic approach rather than improved documentation. Antifungal consumption patterns showed redistribution among agents rather than uniform reduction. Prophylaxis-related costs increased, while treatment-related costs decreased without statistical significance. ICU admissions and in-hospital mortality remained unchanged. These results demonstrate that structured antifungal stewardship programs are feasible and safe in hematology units in middle-income settings, supporting more rational antifungal use without compromising patient outcomes.

侵袭性真菌感染是恶性血液病患者由于免疫抑制和强化治疗的常见并发症。在哥伦比亚,有限的诊断可及性、不同的处方做法以及新出现的抗真菌药物耐药性突出了优化使用的必要性。我们评估了一家三级医院血液科的跨学科抗真菌管理干预。一项准实验前后研究包括353名在2023年1月1日至2024年12月31日期间接受全身抗真菌药物治疗的住院患者(1154张处方)。干预后,抗真菌处方转向增加预防和减少治疗使用,预防性两性霉素B剂量大幅减少,治疗剂量稳定,药物选择选择性改变,包括减少伏立康唑和停用一些广谱药物。微生物采样减少,反映了更有针对性的诊断方法,而不是改进的文件记录。抗真菌药的消费模式呈现再分配而非均匀减少。预防相关费用增加,而治疗相关费用减少,但无统计学意义。ICU住院率和住院死亡率保持不变。这些结果表明,在中等收入的血液科单位,结构化的抗真菌管理计划是可行和安全的,支持更合理的抗真菌使用,而不影响患者的预后。
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引用次数: 0
Breaking the Chain of Infection: A Systematic Review of Environmental Decontamination of Candidozyma auris (2017-2025). 打破感染链:耳念珠菌环境去污的系统综述(2017-2025)。
IF 4.2 2区 生物学 Q2 MICROBIOLOGY Pub Date : 2026-02-11 DOI: 10.3390/jof12020131
Aristotelis Papadimitriou, Lida-Paraskevi Drosopoulou, Maria Tseroni, Flora V Kontopidou, Athanasios Tsakris, Georgia Vrioni

Candidozyma auris is an emerging multidrug-resistant yeast that readily contaminates healthcare environments, persisting on dry surfaces and enabling transmission and difficult-to-control outbreaks. A systematic review of environmental hygiene interventions targeting C. auris was conducted, focusing on efficacy against planktonic cells and surface-associated biofilms (including dry-surface biofilms, DSB where available). PubMed and Scopus were searched for English-language records published from 1 January 2017 to 30 September 2025, and study selection followed PRISMA 2020. Thirty-six studies from nine countries met the inclusion criteria. These were predominantly laboratory efficacy evaluations using carrier/suspension or quantitative surface methods reporting log10 Colony Forming Unit (CFU) reductions; only seven studies assessed biofilm-associated C. auris. Across clades I-IV, chlorine-based disinfectants and oxidizing chemistries (hydrogen peroxide/peracetic acid formulations) most consistently achieved high-level reductions (often ≥ 5 log10 CFU) under label-relevant conditions. In contrast, products containing only quaternary ammonium compounds (QACs) frequently underperformed and demonstrated greater variability. No-touch methods, particularly 254 nm ultraviolet-C light (UV-C), provided meaningful adjunctive reductions, but were highly dependent on dose delivery and geometry, and evidence for ozone-based approaches was mixed. Limited data on C. auris DSBs suggest planktonic testing may overestimate real-world conditions and underscore the importance of endpoints, such as transfer prevention and regrowth suppression.

耳念珠菌是一种新兴的多重耐药酵母菌,容易污染卫生保健环境,在干燥的表面持续存在,使传播和难以控制的暴发成为可能。对针对耳念珠菌的环境卫生干预措施进行了系统回顾,重点关注对浮游细胞和表面相关生物膜(包括干表面生物膜,DSB)的效果。检索PubMed和Scopus检索2017年1月1日至2025年9月30日发表的英文记录,并按照PRISMA 2020进行研究选择。来自9个国家的36项研究符合纳入标准。这些主要是使用载体/悬浮液或定量表面方法报告log10菌落形成单位(CFU)减少的实验室功效评估;只有7项研究评估了与生物膜相关的金黄色葡萄球菌。在I-IV支系中,氯基消毒剂和氧化性化学品(过氧化氢/过氧乙酸制剂)在标签相关条件下大多数都能达到高水平的降低(通常≥5 log10 CFU)。相比之下,仅含季铵化合物(QACs)的产品往往表现不佳,并表现出更大的可变性。非接触方法,特别是254 nm紫外- c光(UV-C),提供了有意义的辅助减少,但高度依赖于剂量传递和几何形状,基于臭氧的方法的证据好坏参半。关于C. auris dsb的有限数据表明,浮游测试可能高估了现实条件,并强调了终点的重要性,如转移预防和再生抑制。
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Journal of Fungi
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