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Fatty Acid Origin of Insect Pheromones. 昆虫信息素的脂肪酸来源
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-06-15 DOI: 10.1007/5584_2024_813
Russell Jurenka

Pheromones are utilized to a great extent in insects. Many of these pheromones are biosynthesized through a pathway involving fatty acids. This chapter will provide examples where the biosynthetic pathways of fatty acid-derived pheromones have been studied in detail. These include pheromones from Lepidoptera, Coleoptera, and Hymenoptera. Many species of Lepidoptera utilize fatty acids as precursors to pheromones with a functional group that include aldehydes, alcohols, and acetate esters. In addition, the biosynthesis of hydrocarbons will be briefly examined because many insects utilize hydrocarbons or modified hydrocarbons as pheromones.

昆虫在很大程度上利用信息素。其中许多信息素都是通过涉及脂肪酸的途径进行生物合成的。本章将举例详细研究脂肪酸衍生信息素的生物合成途径。其中包括鳞翅目、鞘翅目和膜翅目的信息素。许多鳞翅目昆虫利用脂肪酸作为信息素的前体,其官能团包括醛、醇和乙酸酯。此外,还将简要研究碳氢化合物的生物合成,因为许多昆虫利用碳氢化合物或改性碳氢化合物作为信息素。
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引用次数: 0
Circadian Control of Lipid Metabolism. 脂质代谢的昼夜节律控制
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-06-15 DOI: 10.1007/5584_2024_810
Christian Wegener, Kelechi M Amatobi, Ayten Gizem Ozbek-Unal, Agnes Fekete

To ensure optimum health and performance, lipid metabolism needs to be temporally aligned to other body processes and to daily changes in the environment. Central and peripheral circadian clocks and environmental signals such as light provide internal and external time cues to the body. Importantly, each of the key organs involved in insect lipid metabolism contains a molecular clockwork which ticks with a varying degree of autonomy from the central clock in the brain. In this chapter, we review our current knowledge about peripheral clocks in the insect fat body, gut and oenocytes, and light- and circadian-driven diel patterns in lipid metabolites and lipid-related transcripts. In addition, we highlight selected neuroendocrine signaling pathways that are or may be involved in the temporal coordination and control of lipid metabolism.

为了确保最佳的健康和表现,脂质代谢需要在时间上与身体的其他过程和环境的日常变化保持一致。中枢和外周的昼夜节律钟以及光照等环境信号为身体提供了内部和外部的时间线索。重要的是,参与昆虫脂质代谢的每个关键器官都包含一个分子钟表,它在不同程度上独立于大脑的中央时钟。在本章中,我们将回顾目前关于昆虫脂肪体、肠道和卵母细胞中外围时钟的知识,以及脂质代谢物和脂质相关转录物的光和昼夜节律驱动的昼夜模式。此外,我们还重点介绍了部分参与或可能参与脂质代谢时间协调和控制的神经内分泌信号通路。
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引用次数: 0
Lipids in Insect Reproduction: Where, How, and Why. 昆虫繁殖中的脂质:在哪里、如何以及为什么?
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-06-15 DOI: 10.1007/5584_2024_809
Jimena Leyria, Leonardo L Fruttero, Lilián E Canavoso

Modern insects have inhabited the earth for hundreds of millions of years, and part of their successful adaptation lies in their many reproductive strategies. Insect reproduction is linked to a high metabolic rate that provides viable eggs in a relatively short time. In this context, an accurate interplay between the endocrine system and the nutrients synthetized and metabolized is essential to produce healthy offspring. Lipids guarantee the metabolic energy needed for egg formation and represent the main energy source consumed during embryogenesis. Lipids availability is tightly regulated by a complex network of endocrine signals primarily controlled by the central nervous system (CNS) and associated endocrine glands, the corpora allata (CA) and corpora cardiaca (CC). This endocrine axis provides hormones and neuropeptides that significatively affect tissues closely involved in successful reproduction: the fat body, which is the metabolic center supplying the lipid resources and energy demanded in egg formation, and the ovaries, where the developing oocytes recruit lipids that will be used for optimal embryogenesis. The post-genomic era and the availability of modern experimental approaches have advanced our understanding of many processes involved in lipid homeostasis; therefore, it is crucial to integrate the findings of recent years into the knowledge already acquired in the last decades. The present chapter is devoted to reviewing major recent contributions made in elucidating the impact of the CNS/CA/CC-fat body-ovary axis on lipid metabolism in the context of insect reproduction, highlighting areas of fruitful research.

现代昆虫已经在地球上生活了数亿年,它们成功适应环境的部分原因在于其多种繁殖策略。昆虫的繁殖与高代谢率有关,它能在相对较短的时间内提供有活力的卵。在这种情况下,内分泌系统与合成和代谢的营养物质之间的精确相互作用对于产生健康的后代至关重要。脂质保证了卵子形成所需的代谢能量,是胚胎发生过程中消耗的主要能量来源。脂质的供应由复杂的内分泌信号网络严格调控,主要由中枢神经系统(CNS)和相关的内分泌腺体--异位体(CA)和心脏体(CC)控制。这一内分泌轴提供的激素和神经肽对与成功生殖密切相关的组织产生重大影响:脂肪体是代谢中心,提供卵子形成所需的脂质资源和能量;卵巢是发育中的卵母细胞募集脂质的地方,这些脂质将用于优化胚胎形成。后基因组时代的到来和现代实验方法的出现,推进了我们对脂质平衡所涉及的许多过程的了解;因此,将近年来的研究结果与过去几十年中已经获得的知识相结合至关重要。本章专门回顾了近期在阐明中枢神经系统/中枢神经系统/中枢神经系统-脂肪体-卵巢轴对昆虫繁殖过程中脂质代谢的影响方面所做的主要贡献,并重点介绍了富有成果的研究领域。
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引用次数: 0
Insect Lipids: Structure, Classification, and Function. 昆虫脂质:结构、分类和功能。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-06-08 DOI: 10.1007/5584_2024_805
Agata Kaczmarek, Anna Katarzyna Wrońska, Justyna Sobich, Mieczysława Irena Boguś

Lipids are a diverse group of compounds that play several important roles in insect physiology. Among biological lipids, the fundamental category comprises fatty acyl structures, with significant members being fatty acids (FAs). They play several crucial functions in insect physiology; they are used as the source of energy for flight and play key roles in the insect immune system. The FAs present in the insect cuticle are known to demonstrate antibacterial and antifungal activity and are considered as potential insecticides. The most abundant family of lipids are the glycerolipids, with numerous cellular functions including storage of energy, structural compartmentation of cells and organelles, and important signaling activities required for regulation of physiological processes (i.e., growth, development, reproduction, diapause, and overwintering). The phospholipids are also highly diversified key components of all cell membranes; they can modify cellular components in response to rapid cold-hardening (RCH), enhancing membrane fluidity and improving survival at low temperatures. The sphingolipids are important structural and signaling bioactive compounds, mostly detected in membranes.Insects are sterol-auxotrophs: they do not have genes, which code enzymes converting farnesyl pyrophosphate to squalene. Similarly, to mammals, the production of steroids in insects is regulated by cytochrome P450 enzymes that convert sterols (mostly cholesterol) to hormonally active steroids. The major molting hormone in insects is 20-hydroxyecdysone, and cholesterol is the required precursor; however, several exemptions from this rule have been noted. This manuscript also reviews the roles of prenol lipids, isoprenoids, lipid vitamins, polyketides, and waxes in the vital processes of insects.

脂质是一类种类繁多的化合物,在昆虫生理机能中发挥着多种重要作用。在生物脂类中,基本类别包括脂肪酰基结构,其中重要的成员是脂肪酸(FA)。它们在昆虫生理中发挥着多种重要功能;它们被用作飞行的能量来源,并在昆虫免疫系统中发挥关键作用。已知昆虫角质层中的脂肪酸具有抗菌和抗真菌活性,被认为是潜在的杀虫剂。最丰富的脂类家族是甘油三酯,具有多种细胞功能,包括储存能量、细胞和细胞器的结构分区以及调节生理过程(即生长、发育、繁殖、休眠和越冬)所需的重要信号活动。磷脂也是所有细胞膜中高度多样化的关键成分;它们可以在快速低温硬化(RCH)时改变细胞成分,增强膜的流动性,提高低温下的存活率。鞘脂是重要的结构和信号生物活性化合物,主要在膜中检测到。昆虫是固醇-异养生物:它们没有编码将焦磷酸法尼基转化为角鲨烯的酶的基因。与哺乳动物类似,昆虫体内类固醇的产生也受细胞色素 P450 酶的调节,这些酶将固醇(主要是胆固醇)转化为具有激素活性的类固醇。昆虫的主要蜕皮激素是 20-羟基蜕皮激素,而胆固醇是所需的前体;不过,有几种情况可以免于遵守这一规则。本手稿还回顾了前醇类脂质、异戊烯类脂质、脂质维生素、多酮类化合物和蜡在昆虫生命过程中的作用。
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引用次数: 0
Anthracycline-Induced Cardiomyopathy in Cancer Survivors: Management and Long-Term Implications. 癌症幸存者中蒽环类药物诱发的心肌病:管理和长期影响
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-06-07 DOI: 10.1007/5584_2024_804
Seyed Abolfazl Mohsenizadeh, Mohsen Rajaeinejad, Mehran Khoshfetrat, Reza Arefizadeh, Seyed Hossein Mousavi, Reza Mosaed, Mohammad Hassan Kazemi-Galougahi, Hasan Jalaeikhoo, Ali Faridfar, Mohsen Nikandish, Sepideh Alavi-Moghadam, Babak Arjmand

Recent advancements in personalized treatments, such as anthracycline chemotherapy, coupled with timely diagnoses, have contributed to a decrease in cancer-specific mortality rates and an improvement in cancer prognosis. Anthracyclines, a potent class of antibiotics, are extensively used as anticancer medications to treat a broad spectrum of tumors. Despite these advancements, a considerable number of cancer survivors face increased risks of treatment complications, particularly the cardiotoxic effects of chemotherapeutic drugs like anthracyclines. These effects can range from subclinical manifestations to severe consequences such as irreversible heart failure and death, highlighting the need for effective management of chemotherapy side effects for improved cancer care outcomes. Given the lack of specific treatments, early detection of subclinical cardiac events post-anthracycline therapy and the implementation of preventive strategies are vital. An interdisciplinary approach involving cardiovascular teams is crucial for the prevention and efficient management of anthracycline-induced cardiotoxicity. Various factors, such as age, gender, duration of treatment, and comorbidities, should be considered significant risk factors for developing chemotherapy-related cardiotoxicity. Tools such as electrocardiography, echocardiography, nuclear imaging, magnetic resonance imaging, histopathologic evaluations, and serum biomarkers should be appropriately used for the early detection of anthracycline-related cardiotoxicity. Furthermore, understanding the underlying biological mechanisms is key to developing preventive measures and personalized treatment strategies to mitigate anthracycline-induced cardiotoxicity. Exploring specific cardiotoxic mechanisms and identifying genetic variations can offer fresh perspectives on innovative, personalized treatments. This chapter aims to discuss cardiomyopathy following anthracycline therapy, with a focus on molecular mechanisms, preventive strategies, and emerging treatments.

蒽环类化疗等个性化治疗方法的最新进展,再加上及时的诊断,为降低癌症死亡率和改善癌症预后做出了贡献。蒽环类是一类强效抗生素,被广泛用作治疗各种肿瘤的抗癌药物。尽管取得了这些进步,但仍有相当多的癌症幸存者面临着治疗并发症增加的风险,尤其是蒽环类等化疗药物的心脏毒性作用。这些影响的范围从亚临床表现到严重后果,如不可逆的心力衰竭和死亡,突出了有效控制化疗副作用以改善癌症治疗效果的必要性。由于缺乏特定的治疗方法,早期发现蒽环类药物治疗后的亚临床心脏事件并实施预防策略至关重要。心血管团队参与的跨学科方法对于预防和有效管理蒽环类药物引起的心脏毒性至关重要。年龄、性别、治疗时间和合并症等各种因素都应被视为发生化疗相关心脏毒性的重要风险因素。应适当使用心电图、超声心动图、核成像、磁共振成像、组织病理学评估和血清生物标志物等工具来早期检测与蒽环类药物相关的心脏毒性。此外,了解潜在的生物机制是制定预防措施和个性化治疗策略以减轻蒽环类药物引起的心脏毒性的关键。探索特定的心脏毒性机制和确定基因变异可为创新的个性化治疗提供新的视角。本章旨在讨论蒽环类药物治疗后的心肌病,重点是分子机制、预防策略和新兴治疗方法。
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引用次数: 0
Transcriptional Control of Lipid Metabolism. 脂质代谢的转录控制
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-24 DOI: 10.1007/5584_2024_808
Laura Palanker Musselman, Huy G Truong, Justin R DiAngelo

Transcriptional control of lipid metabolism uses a framework that parallels the control of lipid metabolism at the protein or enzyme level, via feedback and feed-forward mechanisms. Increasing the substrates for an enzyme often increases enzyme gene expression, for example. A paucity of product can likewise potentiate transcription or stability of the mRNA encoding the enzyme or enzymes needed to produce it. In addition, changes in second messengers or cellular energy charge can act as on/off switches for transcriptional regulators to control transcript (and protein) abundance. Insects use a wide range of DNA-binding transcription factors (TFs) that sense changes in the cell and its environment to produce the appropriate change in transcription at gene promoters. These TFs work together with histones, spliceosomes, and additional RNA processing factors to ultimately regulate lipid metabolism. In this chapter, we will first focus on the important TFs that control lipid metabolism in insects. Next, we will describe non-TF regulators of insect lipid metabolism such as enzymes that modify acetylation and methylation status, transcriptional coactivators, splicing factors, and microRNAs. To conclude, we consider future goals for studying the mechanisms underlying the control of lipid metabolism in insects.

通过反馈和前馈机制,脂质代谢的转录控制所采用的框架与蛋白质或酶水平上的脂质代谢控制相似。例如,增加酶的底物往往会增加酶基因的表达。产品的缺乏同样会增强编码酶或产生酶所需的酶的 mRNA 的转录或稳定性。此外,第二信使或细胞能量电荷的变化可以作为转录调节因子的开关,控制转录本(和蛋白质)的丰度。昆虫使用多种与 DNA 结合的转录因子(TFs)来感知细胞及其环境的变化,从而在基因启动子上产生适当的转录变化。这些转录因子与组蛋白、剪接体和其他 RNA 处理因子共同作用,最终调节脂质代谢。在本章中,我们将首先重点介绍控制昆虫脂质代谢的重要 TFs。接下来,我们将介绍昆虫脂质代谢的非 TF 调节因子,如改变乙酰化和甲基化状态的酶、转录辅激活因子、剪接因子和 microRNA。最后,我们将探讨研究昆虫脂质代谢控制机制的未来目标。
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引用次数: 0
Endocrine Control of Lipid Metabolism. 脂质代谢的内分泌控制
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-24 DOI: 10.1007/5584_2024_807
Natraj Krishnan

Lipids are essential in insects and play pleiotropic roles in energy storage, serving as a fuel for energy-driven processes such as reproduction, growth, development, locomotion, flight, starvation response, and diapause induction, maintenance, and termination. Lipids also play fundamental roles in signal transduction, hormone synthesis, forming components of the cell membrane, and thus are essential for maintenance of normal life functions. In insects, the neuroendocrine system serves as a master regulator of most life activities, including growth and development. It is thus important to pay particular attention to the regulation of lipid metabolism through the endocrine system, especially when considering the involvement of peptide hormones in the processes of lipogenesis and lipolysis. In insects, there are several lipogenic and lipolytic hormones that are involved in lipid metabolism such as insulin-like peptides (ILPs), adipokinetic hormone (AKH), 20-hydroxyecdysone (20-HE), juvenile hormone (JH), and serotonin. Other neuropeptides such as diapause hormone-pheromone biosynthesis activating neuropeptide (DH-PBAN), CCHamide-2, short neuropeptide F, and the cytokines Unpaired 1 and 2 may play a role in inducing lipogenesis. On the other hand, neuropeptides such as neuropeptide F, allatostatin-A, corazonin, leukokinin, tachykinins, limostatins, and insulin-like growth factor (ILP6) stimulate lipolysis. This chapter briefly discusses the current knowledge of the endocrine regulation of lipid metabolism in insects that could be utilized to reveal differences between insects and mammalian lipid metabolism which may help understand human diseases associated with dysregulation of lipid metabolism. Physiological similarities of insects to mammals make them valuable model systems for studying human diseases characterized by disrupted lipid metabolism, including conditions like diabetes, obesity, arteriosclerosis, and various metabolic syndromes.

脂质是昆虫体内必不可少的物质,在能量储存方面发挥着多方面的作用,是繁殖、生长、发育、运动、飞行、饥饿反应以及休眠诱导、维持和终止等能量驱动过程的燃料。脂质还在信号转导、激素合成、形成细胞膜成分等方面发挥着基本作用,因此是维持正常生命功能所必需的。在昆虫中,神经内分泌系统是包括生长和发育在内的大多数生命活动的主调节器。因此,必须特别关注通过内分泌系统对脂质代谢的调节,尤其是在考虑肽类激素参与脂肪生成和脂肪分解过程时。在昆虫中,有几种生脂激素和脂肪分解激素参与脂质代谢,如胰岛素样肽(ILPs)、促脂肪激素(AKH)、20-羟基蜕皮激素(20-HE)、幼年激素(JH)和血清素。其他神经肽,如休眠激素-信息素生物合成激活神经肽(DH-PBAN)、CCHamide-2、短神经肽 F 和细胞因子 Unpaired 1 和 2 可能在诱导脂肪生成方面发挥作用。另一方面,神经肽(如神经肽 F、动情素-A、花冠素、白激素、速激肽、肢端肽和胰岛素样生长因子(ILP6))可刺激脂肪分解。本章简要讨论了目前有关昆虫脂质代谢内分泌调控的知识,这些知识可用于揭示昆虫与哺乳动物脂质代谢之间的差异,从而有助于了解与脂质代谢失调有关的人类疾病。昆虫与哺乳动物在生理上的相似性使它们成为研究以脂质代谢紊乱为特征的人类疾病(包括糖尿病、肥胖症、动脉硬化和各种代谢综合征)的宝贵模型系统。
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引用次数: 0
Correction to: Antifungal Stewardship in Invasive Fungal Infections, a Systematic Review. 更正:侵袭性真菌感染中的抗真菌管理,系统性综述》(Antifungal Stewardship in Invasive Fungal Infections, a Systematic Review)。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-14 DOI: 10.1007/5584_2024_800
Cataldo Procacci, Luisa Marras, Leonarda Maurmo, Grazia Vivanet, Luca Scalone, Giacomo Bertolino
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引用次数: 0
Exploring the Metabolic Response of Pseudomonas putida to L-arginine. 探索假单胞菌对 L-精氨酸的代谢反应
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-03-02 DOI: 10.1007/5584_2024_797
Chiara Scribani-Rossi, María Antonia Molina-Henares, Manuel Espinosa-Urgel, Serena Rinaldo

Beyond their role as protein-building units, amino acids are modulators of multiple behaviours in different microorganisms. In the root-colonizing beneficial bacterium Pseudomonas putida (recently proposed to be reclassified as alloputida) KT2440, current evidence suggests that arginine functions both as a metabolic indicator and as an environmental signal molecule, modulating processes such as chemotactic responses, siderophore-mediated iron uptake or the levels of the intracellular second messenger cyclic diguanylate (c-di-GMP). Using microcalorimetry and extracellular flux analysis, in this work we have studied the metabolic adaptation of P. putida KT2440 to the presence of L-arginine in the growth medium, and the influence of mutations related to arginine metabolism. Arginine causes rapid changes in the respiratory activity of P. putida, particularly magnified in a mutant lacking the transcriptional regulator ArgR. The metabolic activity of mutants affected in arginine transport and metabolism is also altered during biofilm formation in the presence of the amino acid. The results obtained here further support the role of arginine as a metabolic signal in P. putida and the relevance of ArgR in the adaptation to the amino acid. They also serve as proof of concept on the use of calorimetric and extracellular flux techniques to analyse metabolic responses in bacteria and the impact of different mutant backgrounds on such responses.

除了作为蛋白质构成单位的作用外,氨基酸还是不同微生物多种行为的调节剂。在根系定殖有益细菌普氏假单胞菌(Pseudomonas putida)(最近被建议重新归类为alloputida)KT2440 中,目前的证据表明精氨酸既是一种代谢指标,也是一种环境信号分子,可调节趋化反应、苷元介导的铁吸收或细胞内第二信使环二聚体(c-di-GMP)水平等过程。在这项工作中,我们使用微量热仪和细胞外通量分析,研究了 P. putida KT2440 对生长介质中 L-精氨酸存在的代谢适应性,以及与精氨酸代谢相关的突变的影响。精氨酸会导致 P. putida 呼吸活性的快速变化,尤其是在缺乏转录调节因子 ArgR 的突变体中。精氨酸转运和代谢受影响的突变体的代谢活动也会在有该氨基酸存在的生物膜形成过程中发生改变。这些结果进一步证实了精氨酸在 P. putida 中作为代谢信号的作用,以及 ArgR 在适应该氨基酸过程中的相关性。这些结果还证明了使用热量测定和细胞外通量技术分析细菌代谢反应以及不同突变背景对这种反应的影响的概念。
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引用次数: 0
Antifungal Stewardship in Invasive Fungal Infections, a Systematic Review. 侵袭性真菌感染中的抗真菌管理,系统综述。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-02-10 DOI: 10.1007/5584_2024_798
Cataldo Procacci, Luisa Marras, Leonarda Maurmo, Grazia Vivanet, Luca Scalone, Giacomo Bertolino

Introduction: Invasive fungal infections (IFI) are a group of life-threatening diseases associated with significant morbidity, mortality and high healthcare costs. Some modern management programs known as AFS (antifungal stewardship programs) have now been developed. The purpose of this systematic review is to evaluate the different declinations of antifungal stewardship programs (AFPs).

Methods: Articles were systematically reviewed using the PRISMA checklist 2020. EMBASE and MEDLINE/PubMED were searched using the term "antifungal stewardship" (2012-2022 data) on 2 January 2023. Eligible studies were those that described an AFS and included an intervention, performance evaluation and outcome measures.

Results: A total of 22/796 studies were included. Approximately two-thirds (16) were published between 2018 and 2022. 16 (72.7%) stated a minimal complete AFS team. 12 (54.5%) adopted a non-compulsory AFS approach, 6(27.3%) had an Educational AFS and 4(18.2%) a compulsory AFS. Cost analyses of 12 studies showed a decrease for 7 (31.8%) compared to an increase for 5 (22.7%). In terms of outcomes, 18 studies showed a lower (10;45.5%) or the same (8;36.4%) pre-post intervention mortality rate.

Conclusion: AFS programs seem to be related to lower costs and better outcomes and should thus be implemented in tandem with antimicrobial stewardship programs.

导言:侵袭性真菌感染(IFI)是一组威胁生命的疾病,具有显著的发病率、死亡率和高昂的医疗费用。目前,一些被称为 AFS(抗真菌管理计划)的现代管理计划已经开发出来。本系统性综述旨在评估抗真菌管理计划(AFPs)的不同衰减情况:方法:采用 2020 年 PRISMA 检查表对文章进行系统性综述。于 2023 年 1 月 2 日使用 "抗真菌管理 "一词(2012-2022 年数据)检索 EMBASE 和 MEDLINE/PubMED。符合条件的研究是那些描述了 AFS 并包括干预措施、绩效评估和结果测量的研究:结果:共纳入 22/796 项研究。约三分之二(16 项)的研究发表于 2018 年至 2022 年之间。16项(72.7%)阐述了一个最基本完整的AFS团队。12项(54.5%)采用非强制AFS方法,6项(27.3%)采用教育AFS,4项(18.2%)采用强制AFS。12 项研究的成本分析表明,7 项研究(31.8%)的成本有所下降,而 5 项研究(22.7%)的成本有所上升。在结果方面,18 项研究显示干预前死亡率降低(10;45.5%)或相同(8;36.4%):AFS计划似乎与降低成本和改善疗效有关,因此应与抗菌药物管理计划同时实施。
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引用次数: 0
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