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Bio-energetics Investigation of Candida albicans Using Real-time Extracellular Flux Analysis
Published on: March 19, 2019
Candida infections today--how big is the problem?
Ivana Nola1, Kresimir Kostović, Lenka Oremović
1Department of Dermatology and Venerology, Sisters of Mercy University Hospital, Vinogradska cesta 29, HR-10000 Zagreb, Croatia. ivana_nola@hotmail.com
Abstract:
Thirty years ago, superficial fungal infections were common, but systemic fungal infections were not as frequent as today. Since that time incidence in both superficial and systemic fungal infection has been increasing. The reasons are many. Due to advances in medicine, human life span is extended and many people suffer from various immunodeficiencies. Transplantation of organs and tissues, wide application of parenteral feeding and parenteral administration of drugs, infection with human immunodeficiency virus (HIV), and long-term peroral administration of antibiotics are the main reasons for appearance of many immunologic dysfunctions and thereby systemic fungal infections. The most usual predisposing factors for systemic fungal infection are skin and mucosal damage, hypofunction of T-cell-mediated immunity, decreased function of neutrophiles, long-term administration of corticosteroids, as well as dysfunction of microbial flora. Systemic fungal infections are a great problem, because they are very difficult to prove and to treat. This is why prevention of systemic infections is extremely important today, including the removal of predisposing factors as well as rational drug administration.
Insights
Systemic fungal infections are increasingly common due to medical advances and weakened immunity. Prevention strategies, including managing predisposing factors and rational drug use, are crucial for combating these difficult-to-treat infections.
Area of Science:
- Mycology
- Infectious Diseases
- Immunology
Background:
- Superficial fungal infections were common 30 years ago, but systemic fungal infections are now more frequent.
- Increased lifespan and medical advancements have led to a rise in immunodeficiencies.
- Factors like organ transplantation, parenteral feeding, HIV infection, and antibiotic use contribute to immune dysfunction.
Purpose of the Study:
- To highlight the increasing incidence of systemic fungal infections.
- To identify key predisposing factors for systemic fungal infections.
- To emphasize the importance of prevention strategies.
Main Methods:
- Review of current medical literature and clinical observations.
- Analysis of factors contributing to increased susceptibility to fungal infections.
- Discussion of diagnostic and therapeutic challenges.
Main Results:
- Systemic fungal infections pose a significant clinical challenge due to diagnostic and treatment difficulties.
- Common predisposing factors include skin/mucosal damage, impaired T-cell immunity, neutrophil dysfunction, corticosteroid use, and altered microbial flora.
- Advances in medicine have inadvertently created conditions favoring systemic fungal infections.
Conclusions:
- Systemic fungal infections represent a growing public health concern.
- Effective prevention requires addressing predisposing factors and optimizing drug administration.
- Early diagnosis and treatment remain critical challenges.
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