COVID - 19相关毛霉病(CAM)诊断和管理的幕后窥视

Q1 Nursing
Nermin A Osman, Mohammed Moustapha Anwar, Bivek Singh, Girish K Gupta, Amgad M Rabie
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)相关毛霉菌病(CAM)由于其独特且严重的宿主-病原体相互作用而导致高死亡率。危重患者或免疫功能低下的COVID-19患者更容易患侵袭性真菌病。可能的受害者包括那些不受控制的糖尿病(DM)、代谢性酸中毒、长期中性粒细胞减少症、铁蛋白水平升高、缺氧和长期住院(有/没有机械呼吸机和皮质类固醇治疗)的患者。本综述旨在概述CAM患者的历程以及目前可用的诊断技术的优缺点。它还讨论了治疗方案的现状和毛霉病管理的注意事项。多学科团队,早期诊断,控制易感条件,完全的手术清创,有效的抗真菌治疗(如两性霉素B,异戊康唑和泊沙康唑),以及实施抗真菌管理计划是CAM病例的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A peek behind the curtain in the diagnosis and management of COVID‑19‑Associated Mucormycosis (CAM).

A peek behind the curtain in the diagnosis and management of COVID‑19‑Associated Mucormycosis (CAM).

Coronavirus disease 2019 (COVID-19)-associated mucormycosis (CAM) is responsible for a high mortality rate due to its unique and severe host-pathogen interactions. Critically ill or immunocompromised COVID-19 patients are more prone to suffer from aggressive mycoses. Probable victims include those with uncontrolled diabetes mellitus (DM), metabolic acidosis, prolonged neutropenia, increased ferritin levels, hypoxia, and prolonged hospitalization with/without mechanical ventilators and corticosteroids administration. The current review aims to outline the journey of patients with CAM as well as the advantages and disadvantages of the currently available diagnostic techniques. It also discussed the current status of treatment options and caveats in the management of mucormycosis. Multidisciplinary team, early diagnosis, controlling the predisposing condition(s), complete surgical debridement, effective antifungal therapies (e.g., amphotericin B, isavuconazole, and posaconazole), and implementing antifungal stewardship programs are imperative in CAM cases.

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来源期刊
CiteScore
6.50
自引率
0.00%
发文量
25
审稿时长
10 weeks
期刊介绍: The journal accepts papers of original research which are not being considered for publication elsewhere and which contribute to the advancement of knowledge of Public Health at large
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