응급실을 통한 입원 환자의 진균 감염에 대한 국내역학조사(2011~2013)
Epidemiology of Fungal Infections in Patients Admitted via Emergency Department in Korea (2011~2013)
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Fungal infections are frequent encountered conditions presented in various clinical forms. The prevalence of fungal infection is gradually growing because of the increase in aged population and immune-compromised host which is susceptible factor of fungal infection. Broad array of studies of fungal infection have been published in Korea. However, epidemiologic study of fungal infection in admitted patients via emergency department has not been conducted. Objective: The purpose of this study is to generate background data for emergency department visits in relation to fungal infection for developing a subsequent management and control system. Methods: The data was collected from National Emergency Department Information System (NEDIS) in Korea from 2011 to 2013. Data analysis was done to evaluate the age distribution of admission, regional variance and sex of the patients with fungal infection. Results: The patients were divided into five groups according to their primary diagnosis which were skin fungal infection, subcutaneous mycoses, opportunistic mycoses, systemic mycoses and other mycoses. The annual admission ratio of general fungal infections increased from 2.15 persons per 100,000 in 2011 to 2.46 persons per 100,000 in 2013. The highest admission ratio was seen in opportunistic mycoses group followed by cutaneous fungal infections, other mycoses, subcutaneous mycoses and systemic mycoses groups. Conclusion: This study provides a basic set of data pertaining to fungal infections in emergency departments. Therefore, more systemically approached researches are required to implement sounder management and control systems of fungal infections presented in emergency departments.
Abstract
Background: Fungal infections are frequent encountered conditions presented in various clinical forms. The prevalence of fungal infection is gradually growing because of the increase in aged population and immune-compromised host which is susceptible factor of fungal infection. Broad array of studies of fungal infection have been published in Korea. However, epidemiologic study of fungal infection in admitted patients via emergency department has not been conducted. Objective: The purpose of this study is to generate background data for emergency department visits in relation to fungal infection for developing a subsequent management and control system. Methods: The data was collected from National Emergency Department Information System (NEDIS) in Korea from 2011 to 2013. Data analysis was done to evaluate the age distribution of admission, regional variance and sex of the patients with fungal infection. Results: The patients were divided into five groups according to their primary diagnosis which were skin fungal infection, subcutaneous mycoses, opportunistic mycoses, systemic mycoses and other mycoses. The annual admission ratio of general fungal infections increased from 2.15 persons per 100,000 in 2011 to 2.46 persons per 100,000 in 2013. The highest admission ratio was seen in opportunistic mycoses group followed by cutaneous fungal infections, other mycoses, subcutaneous mycoses and systemic mycoses groups. Conclusion: This study provides a basic set of data pertaining to fungal infections in emergency departments. Therefore, more systemically approached researches are required to implement sounder management and control systems of fungal infections presented in emergency departments.
참고문헌 (21)
- Rachael Morris-Jones, "ABC of dermatology", pp.121~127 (2014), BMJ books
- Jain A, "Emerging fungal infections among children: a review on its clinical manifestations, diagnosis, and prevention", J Pharm Bioallied Sci, 2, pp.314~320 (2010)
- Kannan P, "Prevalnence of dermatophytes and other fungal agents isolated from clinical samples", Indian J Med Microbiol, 24, pp.212~215 (2006)
- Milena ML dos Santos, "The prevalence of common skin infections in four districts in Timor-Leste: a cross sectional survey", BMC Infectious Diseases, 10(1) (2010), Springer Nature[DOI]
- Marques SA, "Mycoses associated with AIDS in the Third World", Med Mycol, 38, pp.269~279 (2000)
- Male O, "Frontier in mycology", pp.131~156 (1990), CAB International
- Ameen M, "Epidemiology of superficial fungal infections", Clin Dermatol, 28, pp.197~201 (2010)
- 이지민, "림프절, 피부, 뇌를 침범한 파종성 콕시디오이데스진균증 1예", 대한내과학회지, 82(6), pp.734~738 (2012), 대한내과학회[DOI]
- 이정우, "콕시디오이데스 뇌수막염 1예", Infection and Chemotherapy, 44(2), pp.75~79 (2012), 대한감염학회[DOI]
- 서영우, "수술적 치료와 Posaconazole 사용으로 완치된 비안와뇌형 털곰팡이증", 대한의진균학회지, 21(1), pp.14~19 (2016), 대한의진균학회[DOI]
- 전병우, "폐결핵으로 오인된 폐분아균증 1예", Tuberculosis and Respiratory Diseases, 72(1), pp.77~81 (2012), 대한결핵및호흡기학회
- Yoon HJ, "Prevalence of fungal infections using National Health Insurance data from 2009-2013, South Korea", Epidemiol Health, 36, pp.e2014017~ (2014)
- Kim SH, "Epidemiological characterization of skin fungal infections between the years 2006 and 2010in Korea", Osong Public Health Res Perspect, 6, pp.341~345 (2015)
- 박제섭, "Epidemiological Characterization of Opportunistic Mycoses between the Years 2006 and 2010 in Korea", Journal of Microbiology and Biotechnology, 26(1), pp.145~150 (2016), 한국미생물·생명공학회[DOI]
- Suh SB, "Dermatophytosis and its causative agents in Korea", Korean J Med Mycol, 1, pp.1~10 (1997)
- "Korean statistical information service"[URL]
- Roden MM, "Epidemiology and outcome of zygomycosis : a review of 929 reported cases", Clin Infect Dis, 41, pp.634~653 (2005)
- Aye C, "Cryptococcosisthe impact of delay to diagnosis", Clin Microbiol Infect, 22, pp.632~635 (2016)
- Maraki S, "Epidemiology of onchomycosis in Crete, Greece: a 12-year study", Mycoses, 59, pp.798~802 (2016)
- Gaona-Flores VA, "The epidemiology of fungemia in an infectious diseases hospital in Mexico city : A 10-year retrospective review", Med Mycol, 54, pp.600~604 (2016)
- Cai W, "Epidemiology of superficial fungal infections in Guangdong, Southern China: a retrospective study from 2004 to 2014", Mycopathologia, 181, pp.387~395 (2016)