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Mycotic infections


Authors: MUDr. Matoušková Michaela
Authors‘ workplace: Urocentrum Praha
Published in: Urol List 2005; 3(2): 39-43

Overview

The 70’s of last century meant a significant milestone in the view of infectuous disea­ses. Wide range of new preparations and their combinations asserted itself in the treatment and prophylaxis of the infections. Other infectuous agents were passed by, anaerobic infections were rare, protozoal infections exceptional, the mycotic ones out of interest. Significant development of invasive diagnostic and therapeutic methods, intensified chemotherapy, anticancer as well as an extensive use of antimicrobial wide-spectrum agents and their combinations, transplantation programs and realimentation methods with long-term central venous catheters with consequent disorder of immune mechanism, lead to a serious growth of opportune infections, especially the mycotic ones. Acqui­red Immunodeficiency Syndrome (AIDS) boosts the adjusted trend. Rising occurence affects all significant anatomic localizations of the infection (lungs, CNS, GIT, urinary system).

The 90’s and present time had not brought anything new to armamentary of antimicrobial preparations for treatment of urinary infections, the preparations or whole drug groups diminish. Almost 2% of uroinfections which have common denominator - micromycetes - are of marginal concern, or, rather non-concern.

KEY WORDS:
mycotic infections, opportune infections, antimycotics


Sources

1. Boedeker KS, Kilzer WJ. Fluconazole dose recommendation in urinary tract infection. Ann Pharmacother 2001; 35(3): 369-372.

2. Hazem KC, Theisz GW, Howell SA. Chronic urinary tract infection due to Candida utilis. J Clin Microbiol 1999; 37(3): 824-827.

3. Krčmery S, Doubrava M, Krčmery V Jr. Fungl urinary tract infections in patient at risk. Int J Antimicrobiol Agents 1999; 11(3-4): 289-291.

4. Laupland KB et al. Intensive care unit-acquired urinary tract infection in a regional critical care unit system. Crit Care 2005; 9(2): 60-65.

5. Špaček J, Buchta V, Veselský Z, Kalousek I. Host-yeast interaction in relation to the urogenital tract, vulvovaginal candidiasis and urological aspects of my­cotic diseases. Česká Gynekol 2003; 68(6): 432-439.

Labels
Paediatric urologist Urology Gynaecology and obstetrics
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