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Medical mycology 皮肤芽生菌感染相关的死亡率: 文献和荟萃分析的系统综述。

影响因子：3.747 DOI：10.1093/mmy/myz048

作者： Carignan A,Denis M,Abou Chakra CN 发表时间：2020-07-10 20:00:40

from：《MEDICAL MYCOLOGY》

keywords： Carignan ADenis MAbou Chakra CN

关键词：芽生菌病.皮芽生菌并发症死亡率

Abstract

:Published case fatality in blastomycosis patients ranges between 4% and 78%. This study aimed to assess mortality associated with blastomycosis and identify its associated risk factors. We conducted a systematic review of publications related to Blastomyces dermatitidis available in PubMed and Scopus databases. Studies that reported data on blastomycosis mortality and that were published from inception through February 2018 were assessed and included in the analysis. Using the R meta package, a random-effect model meta-analysis was used to calculate pooled and stratified estimates of case-fatality proportions and risk ratios. Of 1553 publications, we included 20 studies reporting on a total of 2820 cases of blastomycosis between 1970 and 2014 and three case series reports with 10, 21, and 36 patients. The mean or median ages ranged from 28 to 59 years. Mortality was defined as attributable mortality caused by blastomycosis in 13 studies. Among 14 studies with a standard error ≤0.05, the overall pooled mortality was 6.6% (95% confidence interval [CI], 4.9-8.2) with 57% heterogeneity. The mortality rate was 37% (95% CI, 23-51) in immunocompromised patients and 75% (95% CI, 53-96) in patients who developed an acute respiratory distress syndrome (ARDS) (n = 3 studies each). ARDS was the only identified risk factor in general patients (risk ratio = 10.2). The overall mortality was significantly higher in studies involving immunocompromised patients and ARDS patients. Our analysis showed considerable heterogeneity among studies. Inconsistent mortality definitions may have contributed to the observed heterogeneity. Further research is needed to assess potential risk factors for mortality.

摘要

: 已发表的芽生菌病患者病死率在 4% 至 78% 之间。本研究旨在评估与芽生菌病相关的死亡率并确定其相关危险因素。我们对PubMed和Scopus数据库中与dermatitidis芽生菌相关的出版物进行了系统综述。对报告了芽生菌病死亡率数据并从开始到 2018 年 2 月发表的研究进行了评估并纳入分析。使用R meta包，使用随机效应模型荟萃分析计算病死率比例和风险比的合并和分层估计值。在 1553 篇出版物中，我们纳入了 20 项研究，报道了 1970 年至 2820 年间共 2014 例芽生菌病，以及 3 例病例系列报告，包括 10 、 21 和 36 例患者。平均或中位年龄为 28 至 59 岁。在 13 项研究中，死亡率定义为芽生菌病引起的归因死亡率。在标准误 ≤ 0.05 的 14 项研究中，总体汇总死亡率为 6.6% (95% 置信区间 [CI]，4.9-8.2)，异质性为 57%。免疫功能低下患者的死亡率为 37% (95% CI，23-51)，发生急性呼吸窘迫综合征 (ARDS) 的患者为 75% (95% CI，53-96) (每项研究n = 3)。在一般患者中，ARDS是唯一确定的危险因素 (风险比 = 10.2)。在涉及免疫功能低下患者和ARDS患者的研究中，总体死亡率显著较高。我们的分析显示研究之间存在相当大的异质性。不一致的死亡率定义可能导致观察到的异质性。需要进一步的研究来评估死亡的潜在危险因素。

期刊介绍

《MEDICAL MYCOLOGY》 (点击进入期刊详情)

英文简介 : Medical Mycology (formerly Journal of Medical and Veterinary Mycology) is a bimonthly international journal publishing original work on all aspects of invasive fungal disease in humans and animals. These include: mycological, biochemical and molecular studies of the causal fungi, aspects of pathogenesis, immunology and epidemiology, case reports of unusual infections, clinical and laboratory approaches to diagnosis, antifungal therapy and prophylaxis and the mode of action, pharmacokinetics and assessment of new antifungal agents.

中文简介 : （来自Google、百度翻译）医学真菌学（原名《医学与兽医真菌学杂志》）是一本双月刊的国际期刊，出版关于人类和动物侵袭性真菌病的所有方面的原著。这些内容包括：病原真菌的真菌学、生化和分子研究、发病机制、免疫学和流行病学方面的研究、异常感染的病例报告、临床和实验室诊断方法、抗真菌治疗和预防以及作用模式、药代动力学和新抗真菌剂的评估。

CIRCULATION RESEARCH 期刊中科院评价数据

新中科院分区

大类(学科)	小类(学科)	学科排名
医学	INFECTIOUS DISEASES(传染病) MYCOLOGY(真菌学) VETERINARY SCIENCES(兽医学)	39/88 10/29 5/140

大类(学科)

小类(学科)

学科排名

医学

INFECTIOUS DISEASES(传染病)

MYCOLOGY(真菌学)

VETERINARY SCIENCES(兽医学)

39/88
10/29
5/140

新发布的期刊年发文量

年度总发文量	年度论文发表量	年度综述发表量
108	91	17

总被引频次 :4706

特征因子 : 0.005460

影响因子趋势图

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