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Published on: March 9, 2018
Estimated burden of fungal infections in Sweden
Volkan Özenci1,2, Lena Klingspor1, Måns Ullberg2
1Division of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Abstract:
The aim of this study was to estimate the annual burden of fungal infections in Sweden using data mainly from 2016. Data on specific populations were obtained from Swedish national data registries. Annual incidence and prevalence of fungal disease was calculated based on epidemiological studies. Data on infections due to Cryptococcus sp., Mucorales, Histoplasma capsulatum, Coccidioides immitis and Pneumocystis jirovecii were retrieved from Karolinska University Laboratory and covers only 25% of Swedish population. In 2016, the population of Sweden was 9 995 153 (49.8% female). The overall burden of fungal infections was 1 713 385 (17 142/100 000). Superficial fungal infections affect 1 429 307 people (1429/100 000) based on Global Burden of Disease 14.3% prevalence. Total serious fungal infection burden was 284 174 (2843/100 000) in 2016. Recurrent Candida vulvovaginitis is common; assuming a 6% prevalence in women. Prevalence of allergic bronchopulmonary aspergillosis and severe asthma with fungal sensitisation were estimated to be 20 095 and 26 387, respectively. Similarly, chronic pulmonary aspergillosis was estimated to affect 490 patients after tuberculosis, sarcoidosis and other conditions. Candidemia incidence was estimated to be 500 in 2016 (4.7/100 000) and invasive aspergillosis 295 (3.0/100 000). In Stockholm area, Mucorales were reported in three patients in 2015, while Cryptococcus spp. were reported in two patients. In 2016, there were 297 patients PCR positive for P jirovecii. The present study shows that the overall burden of fungal infections in Sweden is high and affects 17% of the population. The morbidity, mortality and the healthcare-related costs due to fungal infections warrant further studies.
Insights
Fungal infections significantly impact Sweden, affecting 17% of the population annually. This study highlights the high burden of both superficial and serious fungal diseases, necessitating further research into their impact.
Area of Science:
- Medical Mycology
- Infectious Diseases Epidemiology
- Public Health
Background:
- Fungal infections pose a significant global health challenge.
- Estimating the burden of fungal diseases is crucial for public health planning.
- Data on the epidemiology of fungal infections in Sweden is limited.
Purpose of the Study:
- To estimate the annual burden of fungal infections in Sweden for the year 2016.
- To quantify the incidence and prevalence of various fungal diseases.
- To provide data for future studies on morbidity, mortality, and healthcare costs.
Main Methods:
- Utilized Swedish national data registries for population and disease data.
- Calculated annual incidence and prevalence based on epidemiological studies.
- Retrieved specific infection data from Karolinska University Laboratory, covering 25% of the population.
Main Results:
- The overall burden of fungal infections in Sweden was estimated at 1,713,385 cases (17,142/100,000), affecting 17% of the population.
- Superficial fungal infections accounted for 1,429,307 cases, while serious fungal infections affected 284,174 individuals.
- Specific conditions included recurrent Candida vulvovaginitis, allergic bronchopulmonary aspergillosis, invasive aspergillosis, candidemia, and Pneumocystis jirovecii pneumonia.
Conclusions:
- Fungal infections represent a substantial public health issue in Sweden.
- The estimated burden underscores the need for further investigation into clinical and economic impacts.
- Comprehensive data collection is essential for effective management and prevention strategies.
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