An Update on Fungal Disease Outbreaks of Public Health Concern
Dallas J Smith1, Jeremy A W Gold1, Samantha L Williams1
1Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Abstract:
For this narrative review, we describe recent high-profile and severe outbreaks of emerging fungal infections, emphasizing lessons learned and opportunities to improve future prevention and response efforts. Several themes and challenges remain consistent across a diverse array of fungal outbreaks, including the multidisciplinary need for improved diagnostic testing to determine species and perform antifungal susceptibility testing, clinical awareness, and optimization of antifungal use. Recent outbreaks exemplify the growing promise of non-culture-based tools in identifying fungal outbreaks and improving responses, although access remains limited. Culture-based tools remain critical for performing antifungal-susceptibility to guide therapy.
Insights
Emerging fungal infections require better diagnostics and antifungal stewardship. Recent outbreaks highlight the potential of new tools, but access and traditional methods remain crucial for effective treatment.
Area of Science:
- Mycology
- Infectious Diseases
- Public Health
Background:
- Emerging fungal infections pose significant global health threats.
- Recent severe outbreaks underscore the need for improved surveillance and response.
- Consistent challenges include diagnostics, clinical awareness, and antifungal optimization.
Purpose of the Study:
- To review recent severe outbreaks of emerging fungal infections.
- To identify lessons learned and opportunities for enhanced prevention and response.
- To discuss the role of diagnostic tools in managing fungal outbreaks.
Main Methods:
- Narrative review of high-profile and severe emerging fungal infection outbreaks.
- Analysis of consistent themes and challenges across diverse outbreaks.
- Evaluation of diagnostic tools, including culture-based and non-culture-based methods.
Main Results:
- Multidisciplinary approaches are essential for species identification and antifungal susceptibility testing.
- Clinical awareness and optimized antifungal use are critical for managing outbreaks.
- Non-culture-based tools show promise for outbreak detection but have limited access.
- Culture-based methods remain vital for guiding antifungal therapy.
Conclusions:
- Improved diagnostic capabilities are paramount for controlling emerging fungal infections.
- Enhanced collaboration and optimized antifungal strategies are necessary.
- Future efforts should focus on increasing access to novel diagnostic technologies while leveraging established methods.
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