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Updated: Aug 16, 2026

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
Changing patterns and trends in systemic fungal infections
1Department of Bacteriology and Immunology, University of Helsinki, Helsinki, Finland. Malcolm.Richardson@helsinki.fi
Abstract:
Invasive mycoses are a significant and growing public health problem. Although bloodstream infections with Candida albicans may be decreasing in frequency, the number of persons at risk for them continues to grow. Moreover, infections with other Candida species, such as Candida glabrata, are increasing in incidence. Invasive mould infections in general, and Aspergillus infections in particular, are becoming more frequent. Fungal opportunistic infections in persons with AIDS are no longer a major problem in developed countries, but are resulting in significant morbidity and mortality in developing countries with AIDS epidemics. Further studies are needed to define populations at very high risk for fungal opportunistic infections who might benefit from targeted antifungal chemoprophylaxis, which remains the most promising of the potential prevention strategies. This review highlights the changing patterns in risk factors, changes in epidemiology, the impact of changes in medical practice in intensive care and organ transplantation on the incidence of systemic fungal infections, and gives an overview of fungal infections in paediatric patients, patients with haematological malignancy, and the emergence of antifungal resistance.
Insights
Invasive fungal infections are increasing, with rising rates of Candida glabrata and Aspergillus infections. Antifungal chemoprophylaxis is a promising prevention strategy for at-risk populations.
Area of Science:
- Mycology
- Infectious Diseases
- Public Health
Background:
- Invasive mycoses represent a growing global health concern.
- While Candida albicans bloodstream infections may be declining, infections caused by other Candida species, like Candida glabrata, are increasing.
- Invasive mold infections, particularly Aspergillus, are also becoming more common.
Purpose of the Study:
- To review the evolving epidemiology of invasive fungal infections.
- To examine the impact of medical advancements on fungal infection incidence.
- To highlight emerging challenges such as antifungal resistance.
Main Methods:
- Literature review focusing on epidemiological trends.
- Analysis of risk factors and changing medical practices.
- Overview of fungal infections in specific patient groups.
Main Results:
- Increasing incidence of non-albicans Candida and invasive mold infections.
- Shifting patterns in risk factors and patient populations.
- Fungal opportunistic infections remain a major issue in developing countries with AIDS epidemics.
Conclusions:
- Targeted antifungal chemoprophylaxis shows promise for prevention in high-risk groups.
- Further research is needed to identify and protect populations most vulnerable to fungal infections.
- Antifungal resistance is an emerging threat requiring continued surveillance.
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