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1990-2024年中国赛多孢霉感染的流行病学回顾性分析

韩明原 陈敏

中国真菌学杂志2025,Vol.20Issue(2):148-152,5.
中国真菌学杂志2025,Vol.20Issue(2):148-152,5.

1990-2024年中国赛多孢霉感染的流行病学回顾性分析

A retrospective analysis of Scedosporium infections in China from 1990 to 2024

韩明原 1陈敏2

作者信息

  • 1. 海军军医大学第二附属医院皮肤科,上海 200003
  • 2. 上海健康医学院附属周浦医院皮肤科,上海 200120
  • 折叠

摘要

Abstract

Objective To explore the epidemiological characteristics of scedosporiosis from China.Methods The species diversity,infected organ,diagnosis,treatment,and outcome of the reported cases of scedosporiosis from China were retro-spectively reviewed in the past 40 years.Results A total of 90 reported cases of scedosporiosis have been included,in which S.apiospermum/S.boydii and lung(41.1%)were the most common Scedosporium spp.and affected organs,respective-ly.Several infection pathways,such as injury(33.3%),immunosuppression(23.3%),and near-drowning(22.2%)are the most common infection pathways.Up to now,it is still the main diagnostic method to have positive cultures(96.7%),and molecular identification is also increased(86.2%),especially in the past five years.Voriconazole was the leading anti-fungal therapy,and its cure/improvement rate is 76.3%,which was consistent with global guidelines.Conclusions The in-cidence of scedosporiosis has increased steadily in China.Due to the low proportion of molecular techniques used in mycology identification,bias might be appeared in the exploration of incidence of scedosporiosis in China.Notably,voriconazole is rec-ommended as the first-line treatment for Scedosporium infection worldwide.However,it is relatively limited in its use(65.6%)in China.

关键词

赛多孢霉感染/赛多孢霉/流行病学/中国

Key words

scedosporiosis/Scedosporium/epidemiology/China

分类

临床医学

引用本文复制引用

韩明原,陈敏..1990-2024年中国赛多孢霉感染的流行病学回顾性分析[J].中国真菌学杂志,2025,20(2):148-152,5.

基金项目

国家自然科学基金(82172291) (82172291)

中国真菌学杂志

1673-3827

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