巴西的特别工作组负责菌菌的管理
Patrick Leon de Godoy Macedo1, Mariane Taborda1, Vítor Falcão de Oliveira1
1Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Departamento de Infectologia e Medicina Tropical, São Paulo, SP, Brazil.
概括
菌病是一种危险的真菌感染,在巴西正在上升,特别是在COVID-19后. 早期诊断和治疗,包括抗真菌药物和控制潜在疾病,对于降低死亡率至关重要.
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:
- 全球和巴西的菌菌病发病率正在增加,COVID-19大流行加剧了这种情况.
- 危险因素包括糖尿病,血液恶性瘤,移植和皮质类固醇使用.
- 最常见的物种是Rhizopus arrhizus,可能存在区域差异.
研究的目的:
- 制定针对巴西医疗保健系统量身定制的基于证据的菌菌病诊断和管理指南.
- 为了解决巴西日益增长的发病率,并改善患者的治疗结果.
主要方法:
- 根据当前的证据和巴西医疗保健背景制定指南.
- 对粘膜菌的临床特征,流行病学和治疗策略的审查.
主要成果:
- 观察到犀牛-轨道-大脑,肺,皮肤,胃肠道和传播形式.
- 延迟识别显著增加死亡率.
- 推的治疗包括手术除菌和抗真菌诱导 (脂质体安福特里辛B),其次是阿醇 (伊萨夫康纳或波萨康纳).
结论:
- 标准化的国家指导方针对于降低巴西的粘真菌菌病负担至关重要.
- 提高快速诊断,监测和药物获取能力至关重要.
- 严格控制高血糖和免疫抑制是有效管理的关键.
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