侵袭性念珠菌病的流行病学。

IF 3.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Epidemiology Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI:10.2147/CLEP.S459600
Derek J Bays, Emily N Jenkins, Meghan Lyman, Tom Chiller, Nora Strong, Luis Ostrosky-Zeichner, Martin Hoenigl, Peter G Pappas, George R Thompson Iii
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引用次数: 0

摘要

侵袭性念珠菌病(IC)是由机会性酵母菌白色念珠菌引起的一种日益流行、代价高昂且可能致命的感染。以前,IC 主要由白色念珠菌引起,而白色念珠菌通常对药物敏感。全球趋势是白念珠菌继发感染率下降,非白念珠菌感染率上升,耐药性也相应增加,这给治疗带来了挑战。随着恶性肿瘤治疗的进步,IC 的高危人群也在增加,突破性 IC 感染的发病率也相应增加。此外,由于耐药性和该病菌在医疗环境中的快速传播能力,法氏囊菌的出现给管理和预防带来了许多挑战。新型抗真菌药物的开发为未来的管理带来了鼓舞,而了解不断变化的 IC 流行病学则是未来管理和预防的重要一步。
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Epidemiology of Invasive Candidiasis.

Invasive candidiasis (IC) is an increasingly prevalent, costly, and potentially fatal infection brought on by the opportunistic yeast, Candida. Previously, IC has predominantly been caused by C. albicans which is often drug susceptible. There has been a global trend towards decreasing rates of infection secondary to C. albicans and a rise in non-albicans species with a corresponding increase in drug resistance creating treatment challenges. With advances in management of malignancies, there has also been an increase in the population at risk from IC along with a corresponding increase in incidence of breakthrough IC infections. Additionally, the emergence of C. auris creates many challenges in management and prevention due to drug resistance and the organism's ability to transmit rapidly in the healthcare setting. While the development of novel antifungals is encouraging for future management, understanding the changing epidemiology of IC is a vital step in future management and prevention.

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来源期刊
Clinical Epidemiology
Clinical Epidemiology Medicine-Epidemiology
CiteScore
6.30
自引率
5.10%
发文量
169
审稿时长
16 weeks
期刊介绍: Clinical Epidemiology is an international, peer reviewed, open access journal. Clinical Epidemiology focuses on the application of epidemiological principles and questions relating to patients and clinical care in terms of prevention, diagnosis, prognosis, and treatment. Clinical Epidemiology welcomes papers covering these topics in form of original research and systematic reviews. Clinical Epidemiology has a special interest in international electronic medical patient records and other routine health care data, especially as applied to safety of medical interventions, clinical utility of diagnostic procedures, understanding short- and long-term clinical course of diseases, clinical epidemiological and biostatistical methods, and systematic reviews. When considering submission of a paper utilizing publicly-available data, authors should ensure that such studies add significantly to the body of knowledge and that they use appropriate validated methods for identifying health outcomes. The journal has launched special series describing existing data sources for clinical epidemiology, international health care systems and validation studies of algorithms based on databases and registries.
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