抗真菌耐药的人类病原菌的快速出现
Shawn R Lockhart1, Anuradha Chowdhary2,3, Jeremy A W Gold4
1Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. gyi2@cdc.gov.
Nature reviews. Microbiology
|August 30, 2023
概括
新兴的抗真菌耐药性真菌,如Candida auris和耐醇的Aspergillus fumigatus,构成了日益严重的公共卫生威胁. 警对于监测真菌的出现和由于各种驱动因素而增加的抗真菌耐药性至关重要.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 致病真菌是一个日益严重的全球健康问题,由有限的有效抗真菌药物武器库加剧.
- 侵入性真菌感染对全球医疗保健系统构成重大挑战.
研究的目的:
- 审查三个关键的抗真菌耐药性真菌的全球出现和传播.
- 确定有助于这些耐药性真菌病原体的兴起的独特驱动因素.
- 强调需要对真菌的出现和抗真菌耐药性的持续监测.
主要方法:
- 关于新兴真菌病原体的当前文献的综述.
- 在临床和环境环境中分析导致抗真菌耐药性的因素.
- 综合关于传输路线和选择压力的信息.
主要成果:
- 黄菌的出现与全球医疗保健传播和潜在的气候变化有关.
- 耐醇的Aspergillus fumigatus是由农业和环境中使用的醇真菌杀菌剂驱动的.
- 特里科菲顿 (Trichophyton indotineae) 耐药性与非处方用皮质类固醇抗真菌奶油的滥用有关.
结论:
- 新兴真菌及其驱动因素的多样性需要持续监测.
- 积极的监测对于预测和管理未来的抗真菌耐药性威胁至关重要.
- 需要采取多方面的方法来解决复杂的问题抗真菌耐药性.
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