抗真菌治疗在不同类型真菌感染中的作用及其前景:系统综述

Amitder Nath Chatterjee
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摘要

据估计,世界上20- 25%的人口患有真菌感染,这是最常见的毛癣菌感染,使真菌疾病感染成为世界上最常见的感染类型之一。由于真菌的耐药性和形态的变化,治疗人类真菌感染是最难治愈的病例之一。自1960年以来,系统性抗真菌化疗的发现对大多数人类真菌感染的治疗做出了重大贡献。抗真菌药物的化疗完全依赖于它们破坏质膜完整性、细胞壁、细胞代谢、有丝分裂活性或抑制真菌细胞形成的能力。可用局部(治疗局部感染)或全身(治疗皮肤感染)抗真菌治疗(全身感染治疗)。结构、溶解度、作用方式、药代动力学、活性谱、治疗效果(杀真菌或抑真菌)和毒性都是抗真菌药物的特征。多药耐药真菌疾病的出现引起了一类新的真菌感染。针对真菌细胞而非人类细胞的药物的可用性进一步限制了治疗真菌感染的药物选择。本文对真菌感染的类型、抗真菌药物的特点以及抗真菌治疗的未来进行了简要的系统概述,以便为进一步的研究提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Antifungal Therapy in Treating different Types of Fungal Infections and it’s Future: A Systematic Review
An estimated 20-25 percent of the world's population has a fungal infection, which is most commonly a Trichophyton type of infection, making fungal disease infection one of the most common types of infection worldwide. Due to drug resistance and changes in the morphology of the fungi, treating fungal infections in humans is one of the most difficult cases to cure. Since 1960, the discovery of systemic antifungal chemotherapy has made a substantial contribution to the treatment of the majority of human fungal infections. Antifungal agents' chemotherapy rely completely on their ability to disrupt the integrity of the plasma membrane, cell wall, cell metabolism, mitotic activity, or inhibit fungal cell formation. Topically (to treat local infections) or systemically (to heal skin infections) antifungal treatments are available (systemic infections treatment). Structure, solubility, mode of action, pharmacokinetics, activity spectrum, therapeutic impact (fungicidal or fungistatic), and toxicity are all characteristics of antifungal medicines. The emerging of multi-drug-resistant fungal diseases has given rise to a new class of fungal infections. The availability of medications that target fungal cells rather than human cells further restricts pharmaceutical options for treating fungal infections. A brief systematic overview of the types of fungal infections, characteristics of antifungal medicines, and the future of antifungal therapy has been clearly stated in the current review so that it can be utilised in further upcoming study.
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