Invasive aspergillosis in developing countries

被引:42
作者
Chakrabarti, Arunaloke [1 ]
Chatterjee, Shiv Sekhar [1 ]
Das, Ashim [2 ]
Shivaprakash, M. R. [1 ]
机构
[1] Postgrad Inst Med Educ & Res, Dept Med Microbiol, Chandigarh 160012, India
[2] Postgrad Inst Med Educ & Res, Dept Histopathol, Chandigarh 160012, India
关键词
aspergillosis; epidemiology; Aspergillus flavus; cerebral aspergillosis; endophthalmitis; CENTRAL-NERVOUS-SYSTEM; CHRONIC GRANULOMATOUS-DISEASE; POLYMERASE-CHAIN-REACTION; POSTTRAUMATIC FUNGAL ENDOPHTHALMITIS; RENAL-TRANSPLANT RECIPIENTS; PULMONARY ASPERGILLOSIS; CEREBRAL ASPERGILLOSIS; ANTIFUNGAL THERAPY; EARLY-DIAGNOSIS; HIGH-RISK;
D O I
10.3109/13693786.2010.505206
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
To review invasive aspergillosis (IA) in developing countries, we included those countries, which are mentioned in the document of the International Monetary Fund (IMF), called the Emerging and Developing Economies List, 2009. A PubMed/Medline literature search was performed for studies concerning IA reported during 1970 through March 2010 from these countries. IA is an important cause of morbidity and mortality of hospitalized patients of developing countries, though the exact frequency of the disease is not known due to inadequate reporting and facilities to diagnose. Only a handful of centers from India, China, Thailand, Pakistan, Bangladesh, Sri Lanka, Malaysia, Iran, Iraq, Saudi Arabia, Egypt, Sudan, South Africa, Turkey, Hungary, Brazil, Chile, Colombia, and Argentina had reported case series of IA. As sub-optimum hospital care practice, hospital renovation work in the vicinity of immunocompromised patients, overuse or misuse of steroids and broad-spectrum antibiotics, use of contaminated infusion sets/fluid, and increase in intravenous drug abusers have been reported from those countries, it is expected to find a high rate of IA among patients with high risk, though hard data is missing in most situations. Besides classical risk factors for IA, liver failure, chronic obstructive pulmonary disease, diabetes, and tuberculosis are the newly recognized underlying diseases associated with IA. In Asia, Africa and Middle East sino-orbital or cerebral aspergillosis, and Aspergillus endophthalmitis are emerging diseases and Aspergillus flavus is the predominant species isolated from these infections. The high frequency of A. flavus isolation from these patients may be due to higher prevalence of the fungus in the environment. Cerebral aspergillosis cases are largely due to an extension of the lesion from invasive Aspergillus sinusitis. The majority of the centers rely on conventional techniques including direct microscopy, histopathology, and culture to diagnose IA. Galactomannan, beta-D glucan test, and DNA detection in IA are available only in a few centers. Mortality of the patients with IA is very high due to delays in diagnosis and therapy. Antifungal use is largely restricted to amphotericin B deoxycholate and itraconazole, though other anti-Aspergillus antifungal agents are available in those countries. Clinicians are aware of good outcome after use of voriconazole/liposomal amphotericin B/caspofungin, but they are forced to use amphotericin B deoxycholate or itraconazole in public-sector hospitals due to economic reasons.
引用
收藏
页码:S35 / S47
页数:13
相关论文
共 50 条
[21]   Invasive Aspergillosis in Children and Adolescents [J].
Groll, Andreas H. ;
Schrey, Dominik ;
Tragiannidis, Athanasios ;
Bochennek, Konrad ;
Lehrnbecher, Thomas .
CURRENT PHARMACEUTICAL DESIGN, 2013, 19 (20) :3545-3568
[22]   Invasive Aspergillosis [J].
Katelyn Gamson ;
Yile Ding ;
Paul Aronowitz .
Journal of General Internal Medicine, 2014, 29 :686-687
[23]   Invasive Aspergillosis [J].
Gamson, Katelyn ;
Ding, Yile ;
Aronowitz, Paul .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2014, 29 (04) :686-687
[24]   Risk stratification for invasive aspergillosis: early assessment of host susceptibility [J].
Patterson, Thomas F. .
MEDICAL MYCOLOGY, 2009, 47 :S255-S260
[25]   Challenges in the management of invasive aspergillosis in hematopoietic stem cell transplantation [J].
Chandrasekar, P. H. ;
Ramesh, Mayur .
EXPERT REVIEW OF ANTI-INFECTIVE THERAPY, 2009, 7 (10) :1151-1153
[26]   Blood Aspergillus RNA is a promising alternative biomarker for invasive aspergillosis [J].
Zhao, Yanan ;
Paderu, Padmaja ;
Railkar, Radha ;
Douglas, Cameron ;
Iannone, Robert ;
Shire, Norah ;
Perlin, David S. .
MEDICAL MYCOLOGY, 2016, 54 (08) :801-807
[27]   Prospective Monitoring for Invasive Aspergillosis Using Galactomannan and Polymerase Chain Reaction in High Risk Pediatric Patients [J].
Armenian, Saro H. ;
Nash, Kevin A. ;
Kapoor, Neena ;
Franklin, Janet L. ;
Gaynon, Paul S. ;
Ross, Lawrence A. ;
Hoffman, Jill A. .
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 2009, 31 (12) :920-926
[28]   Invasive Aspergillosis after Renal Transplantation [J].
Sigera, Liyanage Shamithra Madhumali ;
Denning, David W. .
JOURNAL OF FUNGI, 2023, 9 (02)
[29]   Invasive aspergillosis in the intensive care unit [J].
Dimopoulos, George ;
Frantzeskaki, Frantezeska ;
Poulakou, Garyfallia ;
Armaganidis, Apostolos .
ADVANCES AGAINST ASPERGILLOSIS I, 2012, 1272 :31-39
[30]   Voriconazole-refractory invasive aspergillosis [J].
Park, Se Yoon ;
Yoon, Jung-A ;
Kim, Sung-Han .
KOREAN JOURNAL OF INTERNAL MEDICINE, 2017, 32 (05) :805-812