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Hospital infections caused by multidrug-resistant fungi are expected to become increasingly common, according to the researcher at the Institute of Tropical Medicine of the University of São Paulo, João Nóbrega de Almeida Jr. "S & # 39, there is a superbug, there is also a superfungo "(19459003) Klebsiella pneumoniae carbapenemase )
Recently, Almeida published an article in the scientific journal An infectious disease transplanted on the first case of a patient infected by the fungus Lomentospora prolificans in South America: the boy had received a bone marrow transplant for about a month when he was infected with the fungus and had died of contamination
According to the researcher, the fungus can only affect people whose immune system is compromised. However, if the contamination occurs, the lethality is greater than 80%. As there are still few laboratories ready to identify this type of infection, Almeida thinks that there may be unregistered cases. "This mushroom should not have a large amount in the environment, as in other countries, but also because our laboratories are not qualified to perform the diagnosis."
There are however other fungi that present a greater threat to infect not only patients with weakened immune systems, but in a delicate hospitalization situation, such as in intensive care units.
Epidemics in South America
In March 2017, the National Health Surveillance Agency (Anvisa) issued a risk statement regarding the fungus, responsible for outbreaks in various parts of the world. Occurrences have been reported in Japan, South Korea, India, Pakistan, South Africa, Kenya, Kuwait, Israel, Venezuela, Colombia, the United Kingdom, the United States, and the United States. Canada. The US Centers for Disease Control and Prevention issued warnings about the fungus.
According to researchers, events in South American countries indicate that Brazil will have to cope at some point Candida auris . "We are preparing with a national working group of several researchers to bring the fungus of the country to make the right diagnosis," he said.
Agrochemicals and climate change
Fungal infections in the hospital have become due to the increase in resistance of some varieties of these organisms. According to Almeida, it would appear that the occurrence of multidrug-resistant fungi is linked to the use of agricultural pesticides. "We believe [que o surgimento dos fungos multirresistentes acontece] mainly by the use of antifungals outside the hospital environment.In agriculture, for example, in plantations, mushrooms are the main biodecomposers, they will destroy vegetables, plants, "he says.
Climate change also seems to have, according to the researcher, a contribution to the emergence of species that are not. are affected by existing drugs. "Global Warming: Climate change will favor the growth of fungi growing at higher temperatures, and fungi that grow at higher temperatures are potentially pathogenic because our bodies have a temperature of 36 degrees." [19659002] Despite the expansion of the problem, Almeida points out that there is no risk to the general population. It is the health systems that must be prepared to face the new possibilities of infection in hospitals.
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