Burden of Serious Fungal Infections in Argentina

The number of fungal infections at any given time in Argentina is not known. Here we estimate the burden of serious fungal infections in Argentina for the first time. Specific population statistics were searched from multiple sources, local literature was identified, and estimates made. Some additio...

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Main Authors: Fernando O. Riera, Juan P. Caeiro, David W. Denning
Format: Article
Language:English
Published: MDPI AG 2018-04-01
Series:Journal of Fungi
Subjects:
Online Access:http://www.mdpi.com/2309-608X/4/2/51
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author Fernando O. Riera
Juan P. Caeiro
David W. Denning
author_facet Fernando O. Riera
Juan P. Caeiro
David W. Denning
author_sort Fernando O. Riera
collection DOAJ
description The number of fungal infections at any given time in Argentina is not known. Here we estimate the burden of serious fungal infections in Argentina for the first time. Specific population statistics were searched from multiple sources, local literature was identified, and estimates made. Some additional data were sourced from the Ministry of Health, the Global Initiative for Asthma (GINA) program, and national haematology and transplant societies. Argentina has a population of 43.8 million, with 25% of this total being children under 15 years. The predicted candidemia annual incidence is 2193 cases, with 50% occurring in the ICU. At a 6% prevalence rate, an estimated 593,695 women suffer from recurrent vulvovaginal candidiasis. Invasive aspergillosis is relatively common because of high smoking and chronic obstructive pulmonary disease (COPD) rates, with 268 cases in immunocompromised patients and another 1938 in the 168,000 COPD patients admitted to hospital. Asthma is also common, affecting 14% of adults, and so allergic bronchopulmonary aspergillosis (ABPA) and severe asthma with fungal sensitization (SAFS) are major problems. An estimated 432 cases of cryptococcal meningitis (CM)—90% of them in AIDS patients—and 1177 cases of Pneumocystis pneumonia (PCP) occur each year. The estimated annual case number of disseminated histoplasmosis is 404 in AIDS patients, almost as frequent as CM. Paracoccidioidomycosis annual incidence is estimated at 219, and coccidioidomycosis at 16 cases. At least 881,023 people (>2.01%) in Argentina are affected by a serious fungal disease annually, with considerable morbidity and mortality.
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spelling doaj.art-3d18f546b2f74f62be4b3d36701c77812022-12-21T18:58:54ZengMDPI AGJournal of Fungi2309-608X2018-04-01425110.3390/jof4020051jof4020051Burden of Serious Fungal Infections in ArgentinaFernando O. Riera0Juan P. Caeiro1David W. Denning2Infectology Department, Sanatorio Allende Córdoba, Av Hipólito Yirgoyen 384, Córdoba, ArgentinaInfectious Diseases Section, Hospital Privado Universitario de Córdoba, Av. Naciones Unidas 346, Córdoba, ArgentinaThe Natonal Aspergillosis Centre, Wythenshawe Hospital, Manchester Academic Health Science Centre, and The University of Manchester, Manchester M23 9LT, UKThe number of fungal infections at any given time in Argentina is not known. Here we estimate the burden of serious fungal infections in Argentina for the first time. Specific population statistics were searched from multiple sources, local literature was identified, and estimates made. Some additional data were sourced from the Ministry of Health, the Global Initiative for Asthma (GINA) program, and national haematology and transplant societies. Argentina has a population of 43.8 million, with 25% of this total being children under 15 years. The predicted candidemia annual incidence is 2193 cases, with 50% occurring in the ICU. At a 6% prevalence rate, an estimated 593,695 women suffer from recurrent vulvovaginal candidiasis. Invasive aspergillosis is relatively common because of high smoking and chronic obstructive pulmonary disease (COPD) rates, with 268 cases in immunocompromised patients and another 1938 in the 168,000 COPD patients admitted to hospital. Asthma is also common, affecting 14% of adults, and so allergic bronchopulmonary aspergillosis (ABPA) and severe asthma with fungal sensitization (SAFS) are major problems. An estimated 432 cases of cryptococcal meningitis (CM)—90% of them in AIDS patients—and 1177 cases of Pneumocystis pneumonia (PCP) occur each year. The estimated annual case number of disseminated histoplasmosis is 404 in AIDS patients, almost as frequent as CM. Paracoccidioidomycosis annual incidence is estimated at 219, and coccidioidomycosis at 16 cases. At least 881,023 people (>2.01%) in Argentina are affected by a serious fungal disease annually, with considerable morbidity and mortality.http://www.mdpi.com/2309-608X/4/2/51mycosesepidemiologyaspergillosiscandidemiafungal infections
spellingShingle Fernando O. Riera
Juan P. Caeiro
David W. Denning
Burden of Serious Fungal Infections in Argentina
Journal of Fungi
mycoses
epidemiology
aspergillosis
candidemia
fungal infections
title Burden of Serious Fungal Infections in Argentina
title_full Burden of Serious Fungal Infections in Argentina
title_fullStr Burden of Serious Fungal Infections in Argentina
title_full_unstemmed Burden of Serious Fungal Infections in Argentina
title_short Burden of Serious Fungal Infections in Argentina
title_sort burden of serious fungal infections in argentina
topic mycoses
epidemiology
aspergillosis
candidemia
fungal infections
url http://www.mdpi.com/2309-608X/4/2/51
work_keys_str_mv AT fernandooriera burdenofseriousfungalinfectionsinargentina
AT juanpcaeiro burdenofseriousfungalinfectionsinargentina
AT davidwdenning burdenofseriousfungalinfectionsinargentina