划伤表面:抗真菌耐药性皮肤植物的兴起
Jeremy A W Gold1, Shawn R Lockhart1
1Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329, USA.
Clinical microbiology newsletter
|June 16, 2025
概括
新兴的,耐药的真菌感染,如 tinea 是一个不断增长的全球健康威胁. 新的诊断方法和抗真菌敏感性测试对于有效的治疗和控制至关重要.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 皮肤虫是一种常见的真菌感染.
- 由于新的耐药菌株导致严重感染,流行病学正在转变.
- 传统的治疗方法正在变得越来越无效.
研究的目的:
- 审查公众健康关注的新兴皮肤菌株.
- 讨论识别,诊断和抗真菌敏感性测试.
- 强调临床微生物学家在管理这些感染中的作用.
主要方法:
- 关于近期皮肤素菌爆发和耐药性模式的文献综述.
- 讨论先进的鉴定技术 (DNA测序,MALDI-ToF).
- 强调抗真菌敏感性测试 (AST) 的重要性.
主要成果:
- 确定了三个关键的新兴病原体: *Trichophyton indotineae*, *Trichophyton mentagrophytes* 基因型VII (TMVII),以及耐药的 *Trichophyton rubrum*.
- *T. indotineae* 导致广泛的,对特尔比纳耐药的青.
- TMVII与严重的口腔/生殖器感染有关,特别是在特定人群中.
结论:
- 严重的抗真菌耐药性皮肤植物病是全球严重的健康问题.
- 准确的诊断,包括AST,对于患者管理至关重要.
- 临床微生物学家对于识别菌株和指导干预至关重要.
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