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Published on: July 1, 2020
Emerging Issues in Nosocomial Fungal Infections
1Hospital Infections Program, Investigation and Prevention Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-69, Atlanta, GA 30333, USA.
Abstract:
Nosocomial fungal infections remain a serious cause of morbidity and mortality. As immunodeficient populations increase, the incidence of nosocomial fungal infections continues to rise. Although a wide variety of new and emerging fungi can cause nosocomial infections, Candida species remain the major etiologic agent. Candida species vary in their epidemiology and therapy. New diagnostic, epidemiologic, and therapeutic tools have been developed and are discussed in this review. They include the use of polymerase chain reaction-based diagnostic methods, recent advances in antifungal susceptibility testing, and comparative therapeutic and prophylactic trials. As advances in prevention, diagnosis, and therapy continue, nosocomial fungal infections and the morbidity and mortality associated with them can be reduced.
Insights
Nosocomial fungal infections, particularly those caused by Candida species, are increasing due to rising immunodeficient populations. Advances in diagnostics, epidemiology, and therapeutics offer hope for reducing associated morbidity and mortality.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Hospital Epidemiology
Background:
- Nosocomial fungal infections represent a significant threat to patient health, contributing to substantial morbidity and mortality.
- The increasing prevalence of immunocompromised individuals worldwide fuels the rise in these infections.
- While emerging fungi pose risks, Candida species remain the primary causative agents of hospital-acquired fungal infections.
Purpose of the Study:
- To review recent advancements in the diagnosis, epidemiology, and treatment of nosocomial fungal infections.
- To highlight new tools and strategies for combating hospital-acquired fungal pathogens.
- To provide an overview of current research and clinical practices in managing these infections.
Main Methods:
- Review of recent literature on diagnostic methods, including polymerase chain reaction (PCR)-based techniques.
- Analysis of advances in antifungal susceptibility testing (AST).
- Evaluation of comparative therapeutic and prophylactic clinical trials.
Main Results:
- Development of novel PCR-based diagnostic methods offers improved detection of fungal pathogens.
- Recent advances in antifungal susceptibility testing provide better guidance for treatment selection.
- Comparative trials are refining therapeutic and prophylactic strategies for various Candida species.
Conclusions:
- Continued advancements in prevention, diagnosis, and therapy are crucial for reducing the burden of nosocomial fungal infections.
- Early and accurate diagnosis, coupled with appropriate antifungal strategies, can significantly decrease patient morbidity and mortality.
- The review underscores the importance of ongoing research and development in managing hospital-acquired fungal infections.
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