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学科主题临床医学
Trends in the prevalence of invasive fungal infections from an analysis of annual records of autopsy cases of Toho University
Shimodaira, Kayoko2; Okubo, Yoichiro; Nakayama, Haruo; Wakayama, Megumi1; Shinozaki, Minoru; Ishiwatari, Takao; Sasai, Daisuke; Nemoto, Tetsuo; Takahashi, Kei3; Ishii, Toshiharu4; Saji, Tsutomu2; Shibuya, Kazutoshi5
关键词Invasive Fungal Infection Prevalence Trends Autopsy Epidemiology
刊名MYCOSES
2012-09-01
DOI10.1111/j.1439-0507.2012.02169.x
55期:5页:435-443
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Dermatology ; Mycology
研究领域[WOS]Dermatology ; Mycology
关键词[WOS]STATISTICAL-SURVEY ; JAPAN ; EPIDEMIOLOGY ; MYCOSES ; HISTORY ; DISEASE ; CANCER
英文摘要

Clinical diagnosis of invasive fungal infections (IFIs) is sometimes difficult, and obtaining an accurate assessment of trends concerning the prevalence of IFIs is a challenge. The aim of this study was to determine trends in the prevalence of IFIs from an autopsy survey. The retrospective review of autopsy records stored in Toho University was performed on all documented cases with fungal infection from 1955 to 2006. A total of 411 cases of IFIs were detected among 10 297 autopsies. The prevalence of candidiasis decreased from 3.6% (198193) to 2.0% (19942006), and that of aspergillosis increased throughout the 52-year period and reached 2.0% (19942006). The prevalence of IFIs in the patient group comprising haematological disorders was significantly higher (19.9%) than in other patient groups (2.9%), of which the odds ratio was 18.4 for mucormycosis and 10.0 for aspergillosis. The lung was the most common organ involved irrespective of major fungal species, and most cases with candidiasis showed multiple-organ infection. Results confirmed the increasing prevalence of aspergillosis and high risk of IFIs in the patient group with haematological disorders. IFIs were also detected in an immunocompromised state caused not only by primary disease but also by treatment with anti-tumour drugs and corticosteroids.

语种英语
WOS记录号WOS:000307543300008
项目编号H22-Shinko-Ippan-008 ; H23-Shinko-Ippan-018 ; H20-nannchi-ippann-35 ; 23-19 ; 23-21 ; 23-28
资助机构Health Science Research Grants for Research on Emerging and Reemerging Infectious Diseases ; Ministry of Health, Labor and Welfare of Japan ; Strategic Basis on Research Grounds for Nongovernmental Schools at Heisei 20th from the Ministry of Education, Culture, Sports, Science and Technology of Japan ; Strategic Research Foundation ; Ministry of Education, Culture, Sports, Science and Technology of Japan ; Toho University
引用统计
被引频次:16[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54515
专题北京大学第一临床医学院_皮肤性病科
作者单位1.Toho Univ, Sch Med, Dept Surg Pathol, Ota Ku, Tokyo 1438541, Japan
2.Toho Univ, Omori Med Ctr, Dept Pediat, Tokyo 1438541, Japan
3.Toho Univ, Ohashi Med Ctr, Dept Pathol, Tokyo 1438541, Japan
4.Toho Univ, Sch Med, Dept Pathol, Tokyo 1438541, Japan
5.Peking Univ, Hosp 1, Dept Dermatol, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Shimodaira, Kayoko,Okubo, Yoichiro,Nakayama, Haruo,et al. Trends in the prevalence of invasive fungal infections from an analysis of annual records of autopsy cases of Toho University[J]. MYCOSES,2012,55(5):435-443.
APA Shimodaira, Kayoko.,Okubo, Yoichiro.,Nakayama, Haruo.,Wakayama, Megumi.,Shinozaki, Minoru.,...&Shibuya, Kazutoshi.(2012).Trends in the prevalence of invasive fungal infections from an analysis of annual records of autopsy cases of Toho University.MYCOSES,55(5),435-443.
MLA Shimodaira, Kayoko,et al."Trends in the prevalence of invasive fungal infections from an analysis of annual records of autopsy cases of Toho University".MYCOSES 55.5(2012):435-443.
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