Research Keyword: Infectious disease management

Emerging Infections Network Survey of Screening for Cryptococcal Antigenemia, United States, 2024

Researchers surveyed infectious disease doctors across the United States about their use of a blood test (cryptococcal antigen screening) to detect a serious fungal infection in HIV patients before symptoms appear. Only about one-third to two-thirds of doctors regularly perform this inexpensive and accurate test, depending on the patient’s immune system status. Many doctors were unsure about the benefits and guidelines for this screening, suggesting that education and clearer guidelines could help more patients catch this dangerous infection early and receive treatment before it becomes life-threatening.

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Antifungal Policy and Practice Across Five Countries: A Qualitative Review

This study examined how five countries (Netherlands, Italy, South Korea, China, and India) manage invasive fungal infections through national policies. Researchers found that while all countries have some policies in place, there are significant gaps in diagnosis access, treatment availability, and healthcare professional training. The findings highlight the urgent need for stronger, more comprehensive policies to help patients suffering from serious fungal infections.

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Urosepsis From Nephrolithiasis Caused by Candida glabrata: A Rare Etiology of Urinary Sepsis in an Immunocompetent Patient

A 41-year-old man with kidney stones developed a serious bloodstream infection caused by Candida glabrata, a type of yeast fungus that rarely infects healthy people. Although he initially received antibiotics, his condition worsened until doctors identified the fungal infection through blood tests. After placing a drainage tube in his kidney and treating him with an antifungal medication called micafungin, he recovered well. This case highlights the importance of considering fungal infections when standard antibiotics fail to treat kidney stone-related infections.

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Retrospective Analysis on the Efficacy and Adverse Effects of Antifungal Prophylaxis in Patients with Peritoneal Dialysis-Associated Peritonitis

This study examined whether giving antifungal medications to peritoneal dialysis patients with infections could prevent fungal peritonitis. The researchers found that patients receiving antifungal prophylaxis actually had higher rates of secondary fungal infections compared to those without it. Additionally, fluconazole treatment was associated with dangerous changes in heart electrical activity, suggesting potential cardiac risks.

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