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Opportunistic fungal infections in the Asia-Pacific region
Monica A Slavin1, Arunaloke Chakrabarti
1Department of Infectious Diseases, Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia. monica.slavin@petermac.org
Abstract:
With more than half the world's population, many Asia-Pacific countries still lack resources for adequate infection control and diagnostics. Opportunistic invasive fungal infections (IFIs) have a significant impact on public health in the region, and early diagnosis and appropriate treatment remain important. The incidence of IFI in the Asia-Pacific region is increasing because of the expanded population of immunosuppressed patients resulting from advances in medical technology, such as treatments for cancer and transplantation, as well as the impact of human immunodeficiency virus. Even so, the epidemiology of IFIs is not well described in the Asia-Pacific region. Prevalence of some infections, such as mucormycosis, is particularly related to undiagnosed or untreated diabetes, which is likely to be a continuing problem with the epidemic of diabetes in the region. In addition, despite some effective treatment options, IFIs are associated with high morbidity and mortality. In an attempt to increase recognition of invasive mycoses in this large area, this paper reviews recent findings on the epidemiology of the most clinically significant opportunistic mould and yeast infections in the Asia-Pacific region, i.e., aspergillosis, mucormycosis, pythiosis, scedosporiosis, fusariosis, candidiasis, trichosporonosis, and cryptococcosis.
Insights
Invasive fungal infections (IFIs) pose a growing public health threat in the Asia-Pacific due to rising immunosuppressed populations. This review highlights the urgent need for better understanding and management of IFIs in the region.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Public Health
Background:
- Asia-Pacific countries face challenges in infection control and diagnostics, impacting public health.
- Opportunistic invasive fungal infections (IFIs) are a significant concern, with increasing incidence due to medical advancements and HIV.
- The epidemiology of IFIs in the Asia-Pacific region is poorly understood, despite high morbidity and mortality.
Purpose of the Study:
- To review recent findings on the epidemiology of clinically significant opportunistic fungal infections in the Asia-Pacific.
- To increase recognition of invasive mycoses in the region.
- To highlight the impact of factors like diabetes on IFI prevalence.
Main Methods:
- Literature review of recent findings on IFIs in the Asia-Pacific.
- Focus on clinically significant opportunistic mould and yeast infections.
- Analysis of epidemiological data for infections like aspergillosis, candidiasis, and mucormycosis.
Main Results:
- IFI incidence is rising in the Asia-Pacific, linked to increased immunosuppressed patient populations.
- Conditions like mucormycosis are associated with undiagnosed or untreated diabetes, a growing epidemic in the region.
- Despite available treatments, IFIs contribute significantly to patient morbidity and mortality.
Conclusions:
- There is a critical need for improved understanding and surveillance of IFIs in the Asia-Pacific.
- Addressing underlying conditions like diabetes is crucial for managing IFI prevalence.
- Enhanced diagnostic and treatment strategies are essential to reduce the burden of IFIs in the region.
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