从耳念珠菌流行谈中国真菌病防治体系建设  

Discussion on the construction of fungal disease prevention and control system in China from the epidemic of Candida auris

作　　者：孙怀远 冯佳佳 孔维华 林丽开 徐英春[2] 陈楠[3] SUN Huaiyuan;FENG Jiajia;KONG Weihua;LIN Likai;XU Yingchun;CHEN Nan(Management Institute,Wuhan University Hospital,Wuhan,Hubei 430071,P.R.China;Department of Clinical Laboratory,Peking Union Medical College Hospital,Beijing 100000,P.R.China;Pharmacy Department,People’s Hospital of Zhengzhou,Zhengzhou,Henan 450000,P.R.China)

机构地区：[1]武汉大学医院管理研究所,武汉430071 [2]北京协和医院检验科,北京100000 [3]郑州人民医院药学部,郑州450000

出　　处：《华西医学》2025年第3期337-342,共6页West China Medical Journal

基　　金：国家科技重大专项(2024ZD0532800)。

摘　　要：耳念珠菌是一种新发多重耐药真菌,因其强耐药性和院内传播特性,已成为全球公共卫生领域的重大威胁。该文梳理了耳念珠菌的全球流行趋势及现有防治体系现状,重点从病原体流行病学特征、国内外流行态势、防控体系现状和防治网络建设几个方面展开论述。在耳念珠菌国际流行的挑战下,中国真菌病防治体系建设在现有基础上,应朝着更加系统化、科学化的方向迈进,通过整合医疗机构、疾控机构和科研院所等各方资源,联合多学科知识技术,建立起多层级联防联控机制,完善监测、防控、诊疗体系。未来,我国真菌病防治体系建设需要进一步加强人才培养、完善监测网络、推进技术创新与应用,构建起全方位、多层次的现代化防治体系。Candida auris is an emerging multidrug-resistant fungus that has become a significant global public health threat due to its strong resistance to antifungal agents and its ability to spread within healthcare facilities.This paper reviews the global epidemiological trends of Candida auris and the current status of existing prevention and control systems,focusing specifically on pathogen epidemiological characteristics,domestic and international epidemic situations,current prevention and control frameworks,and the construction of prevention networks.In response to the challenges posed by the international spread of Candida auris,China’s fungal disease prevention system should advance towards a more systematic and scientific direction.By integrating resources from medical institutions,disease control agencies,and research institutes,and combining multidisciplinary knowledge and technologies,China should establish a multi-level coordinated prevention and control mechanism to improve its monitoring,prevention,and treatment systems.In the future,China’s fungal disease prevention and control system needs to further strengthen talent cultivation,improve surveillance networks,promote technological innovation,and build a comprehensive,multi-level modern prevention and control system.

关 键 词：耳念珠菌 真菌病 防治体系建设 

分 类 号：R44[医药卫生—诊断学]