与COVID-19相关的侵入性真菌感染
Kyaw M Hlaing1, Lea M Monday1, Marcio Nucci2
1Division of Infectious Diseases, Wayne State University School of Medicine, Detroit, MI 48201, USA.
Journal of fungi (Basel, Switzerland)
|June 27, 2023
概括
像侵入性阿斯伯吉洛症这样的真菌感染复杂化了严重的COVID-19,增加了死亡率. 早期诊断和抗真菌治疗对于重症患者的更好的治疗结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 菌类学 菌类学是指菌类学.
背景情况:
- 由于COVID-19的流行病导致了数百万人的死亡,通常是由于呼吸系统衰竭.
- 住院患者,特别是在重症监护室 (ICU),经历了严重的并发症.
- 菌感染,包括侵袭性阿斯伯吉洛症,候群病和粘菌菌,对发病率和死亡率做出了重大贡献.
研究的目的:
- 为了突出COVID-19患者中真菌感染的重大负担.
- 讨论与这些感染相关的风险因素和诊断挑战.
- 强调早期诊断和治疗的必要性,以改善患者的治疗结果.
主要方法:
- 关于COVID-19患者的真菌感染的临床数据和文献的审查.
- 风险因素的分析,包括病毒诱导的免疫变化和治疗性免疫抑制.
- 评估诊断局限性及其对患者管理的影响.
主要成果:
- COVID-19患者,特别是那些在ICU中的患者,面临着侵入性真菌感染的高风险.
- 风险因素包括COVID-19对免疫防御和免疫抑制疗法的影响.
- 当前的诊断测试往往缺乏灵敏度,导致诊断延迟.
- 这些真菌感染的死亡率在某些患者队列中可以超过50%.
结论:
- 侵入性真菌感染对重症COVID-19患者构成严重威胁.
- 临床怀疑的高指数对于及时诊断至关重要.
- 早期启动适当的抗真菌治疗对于改善生存率至关重要.
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