Serious Fungal Infections in Peru

Beatriz Bustamante Bustamante, David Denning, Pablo E. Campos

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Abstract

Background:
Epidemiological data about mycotic diseases are limited in Peru and estimation of the fungal burden has not been previously attempted.
Methods:
Data were obtained from the Peruvian National Institute of Statistics and Informatics, UNAIDS and from the Ministry of Health´s publications. We also searched the bibliography for Peruvian data on mycotic diseases, asthma, COPD, cancer and transplants. Incidence or prevalence for each fungal disease were estimated in specific populations at risk.
Results and discussion:
The Peruvian population for 2015 was 31,151,543. In 2014, the estimated number of HIV/AIDS and pulmonary tuberculosis cases was 88,625, 38,581 of them not on ART, and 22,027 respectively. A total of 581,174 cases of fungal diseases were estimated, representing approximately 1.9% of the Peruvian population. This figure includes 498,606, 17,361 and 4,431 vulvovaginal, oral and esophageal candidiasis respectively, 1,557 candidemia cases, 3,593 CPA, 1,621 invasive aspergillosis, 22,453 allergic bronchopulmonary aspergilllosis, 29,638 severe asthma with fungal sensitization, and 1,447 Pneumocystis pneumonia.
This first attempt to assess the fungal burden in Peru needs to be refined. We believe the figure obtained is an underestimation, because under diagnosis, non-mandatory reporting and lack of a surveillance system and of good data about the size of populations at risk.
Keywords: Fungal burden, Peru, candidemia, aspergillosis.
Original languageEnglish
Pages (from-to)943-948
Number of pages6
JournalEuropean Journal of Clinical Microbiology and Infectious Diseases
Volume36
Issue number6
Early online date10 Feb 2017
DOIs
Publication statusPublished - 2017

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