Megha Sharma, Shivaprakash M Rudramurthy, Arunaloke Chakrabarti
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引用次数: 0
摘要
综述目的:本综述总结了印度关于实体器官移植(SOT)受者侵袭性真菌感染(IFI)流行病学的现有数据。并将每种 SOT 类型的流行病学与世界其他地区的研究作了进一步比较:尽管近年来印度进行的 SOT 数量大幅增加,但有关印度 SOT 中 IFI 流行病学的现有研究却很少。来自印度的有限数据显示,移植受者的感染范围很广,粘孢子菌病的发病率很高。在 COVID-19 爆发期间,IFI 感染率上升,肾移植受者感染粘孢子虫病的时间早于之前的研究。摘要:肾移植受者的 IFI 数据最多,与大多数国家的侵袭性念珠菌病相比,粘孢子虫病是印度患者最主要的 IFI。其他 IFI 的病谱各不相同。随着印度肾移植手术的数量不断增加,IFI的负担已经很重,因此急需对移植受者IFI的流行病学进行更大规模的前瞻性研究。
Epidemiology of Invasive Fungal Infections in Solid Organ Transplant Recipients: an Indian Perspective.
Purpose of review: This review summarizes the available Indian data on epidemiology of invasive fungal infections (IFI) in recipients of solid organ transplants (SOT). The epidemiology is further compared with studies from other parts of the world for each SOT type.
Recent findings: The available studies on Indian epidemiology of IFI in SOT are scarce, though the number of SOTs performed in India have increased tremendously in recent years. The limited data from India present a distinct spectrum of infection in transplant recipients with high incidence of mucormycosis. During COVID-19 outbreak, IFI rate increased and renal transplant recipients acquired mucormycosis earlier than previous studies.
Summary: Maximum data on IFI was available from renal transplant recipients, wherein mucormycosis was the predominant IFI in Indian patients in contrast to invasive candidiasis in majority countries. The other IFIs had varied spectrum. With the increasing number of SOTs being performed and the already persisting high burden of IFI in India, there is an urgent need of larger prospective studies on epidemiology of IFI in transplant recipients.
期刊介绍:
This journal intends to provide clear, insightful, balanced contributions that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of fungal infections. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as advances in diagnosis, current and emerging management approaches, and genomics and pathogenesis. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. Commentaries from well-known figures in the field are also provided, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.