Fusarium species, Scedosporium species, and Lomentospora prolificans: A systematic review to inform the World Health Organization priority list of fungal pathogens

Title
Fusarium species, Scedosporium species, and Lomentospora prolificans: A systematic review to inform the World Health Organization priority list of fungal pathogens
Publication Date
2024-06-27
Author(s)
Marinelli, Tina
Kim, Hannah Yejin
( author )
OrcID: https://orcid.org/0000-0002-1808-5036
Email: hkim41@une.edu.au
UNE Id une-id:hkim41
Halliday, Catriona L
Garnham, Katherine
Bupha-Intr, Olivia
Dao, Aiken
Morris, Arthur J
Alastruey-Izquierdo, Ana
Colombo, Arnaldo
Rickerts, Volker
Perfect, John
Denning, David W
Nucci, Marcio
Hamers, Raph L
Cassini, Alessandro
Oladele, Rita
Sorrell, Tania C
Ramon-Pardo, Pilar
Fusire, Terence
Chiller, Tom M
Wahyuningsih, Retno
Forastiero, Agustina
Al-Nuseirat, Adi
Beyer, Peter
Gigante, Valeria
Beardsley, Justin
Sati, Hatim
Alffenaar, Jan-Willem
Morrissey, C Orla
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Oxford University Press
Place of publication
United Kingdom
DOI
10.1093/mmy/myad128
UNE publication id
une:1959.11/73538
Abstract

Recognizing the growing global burden of fungal infections, the World Health Organization established a process to develop a priority list of fungal pathogens (FPPL). In this systematic review, we aimed to evaluate the epidemiology and impact of infections caused by Fusarium spp., Scedosporium spp., and Lomentospora prolificans to inform the first FPPL. PubMed and Web of Sciences databases were searched to identify studies published between January 1, 2011 and February 23, 2021, reporting on mortality, complications and sequelae, antifungal susceptibility, preventability, annual incidence, and trends. Overall, 20, 11, and 9 articles were included for Fusarium spp., Scedosporium spp., and L. prolificans, respectively. Mortality rates were high in those with invasive fusariosis, scedosporiosis, and lomentosporiosis (42.9%–66.7%, 42.4%–46.9%, and 50.0%–71.4%, respectively). Antifungal susceptibility data, based on small isolate numbers, showed high minimum inhibitory concentrations (MIC)/minimum effective concentrations for most currently available antifungal agents. The median/mode MIC for itraconazole and isavuconazole were ≥16 mg/l for all three pathogens. Based on limited data, these fungi are emerging. Invasive fusariosis increased from 0.08 cases/100 000 admissions to 0.22 cases/100 000 admissions over the time periods of 2000–2009 and 2010–2015, respectively, and in lung transplant recipients, Scedosporium spp. and L. prolificans were only detected from 2014 onwards. Global surveillance to better delineate antifungal susceptibility, risk factors, sequelae, and outcomes is required.

Link
Citation
Medical Mycology, 62(6), p. 1-34
ISSN
1460-2709
1369-3786
Start page
1
End page
34
Rights
Attribution-NonCommercial 4.0 International

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