Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.

Between January and March 2022, WHO conducted a global online survey to collect data on diagnostic capacities and treatment practices in different settings for four implantation mycoses: eumycetoma, actinomycetoma, cutaneous sporotrichosis and chromoblastomycosis. The survey investigated the type of...

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Main Authors: Barbara Milani, Daniel Argaw Dagne, Hye Lynn Choi, Marco Schito, Heather Anne Stone
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-06-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011443&type=printable
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author Barbara Milani
Daniel Argaw Dagne
Hye Lynn Choi
Marco Schito
Heather Anne Stone
author_facet Barbara Milani
Daniel Argaw Dagne
Hye Lynn Choi
Marco Schito
Heather Anne Stone
author_sort Barbara Milani
collection DOAJ
description Between January and March 2022, WHO conducted a global online survey to collect data on diagnostic capacities and treatment practices in different settings for four implantation mycoses: eumycetoma, actinomycetoma, cutaneous sporotrichosis and chromoblastomycosis. The survey investigated the type of diagnostic methods available in countries at various health system levels (tertiary, secondary, primary level) and the medicines used to treat implantation mycoses, with a view to understanding the level of drug repurposing for treatment of these diseases. 142 respondents from 47 countries, including all continents, contributed data: 60% were from middle-income countries, with 59% working at the tertiary level of the health system and 30% at the secondary level. The results presented in this article provide information on the current diagnostic capacity and treatment trends for both pharmacological and non-pharmacological interventions. In addition, the survey provides insight on refractory case rates, as well as other challenges, such as availability and affordability of medicines, especially in middle-income countries. Although the study has limitations, the survey-collected data confirms that drug repurposing is occurring for all four surveyed implantation mycoses. The implementation of an openly accessible global and/or a national treatment registry for implantation mycoses could contribute to address the gaps in epidemiological information and collect valuable observational data to inform treatment guidelines and clinical research.
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spelling doaj.art-d4a44c26efda4b609a2175ff667a99212023-09-06T05:31:53ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352023-06-01176e001144310.1371/journal.pntd.0011443Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.Barbara MilaniDaniel Argaw DagneHye Lynn ChoiMarco SchitoHeather Anne StoneBetween January and March 2022, WHO conducted a global online survey to collect data on diagnostic capacities and treatment practices in different settings for four implantation mycoses: eumycetoma, actinomycetoma, cutaneous sporotrichosis and chromoblastomycosis. The survey investigated the type of diagnostic methods available in countries at various health system levels (tertiary, secondary, primary level) and the medicines used to treat implantation mycoses, with a view to understanding the level of drug repurposing for treatment of these diseases. 142 respondents from 47 countries, including all continents, contributed data: 60% were from middle-income countries, with 59% working at the tertiary level of the health system and 30% at the secondary level. The results presented in this article provide information on the current diagnostic capacity and treatment trends for both pharmacological and non-pharmacological interventions. In addition, the survey provides insight on refractory case rates, as well as other challenges, such as availability and affordability of medicines, especially in middle-income countries. Although the study has limitations, the survey-collected data confirms that drug repurposing is occurring for all four surveyed implantation mycoses. The implementation of an openly accessible global and/or a national treatment registry for implantation mycoses could contribute to address the gaps in epidemiological information and collect valuable observational data to inform treatment guidelines and clinical research.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011443&type=printable
spellingShingle Barbara Milani
Daniel Argaw Dagne
Hye Lynn Choi
Marco Schito
Heather Anne Stone
Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.
PLoS Neglected Tropical Diseases
title Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.
title_full Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.
title_fullStr Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.
title_full_unstemmed Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.
title_short Diagnostic capacities and treatment practices on implantation mycoses: Results from the 2022 WHO global online survey.
title_sort diagnostic capacities and treatment practices on implantation mycoses results from the 2022 who global online survey
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011443&type=printable
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