Burden of fungal infections in Iran

  • Mohammad T Hedayati Invasive Fungi Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  • Mojtaba Tagizadeh Armaki Babol University of Medical Sciences, Babol, Iran
  • Jamshid Yazdani Charati Mazandaran University of Medical Sciences, Sari, Iran
  • Newsha Hedayati Mazandaran University of Medical Sciences, Sari, Iran
  • Seyedmojtaba Seyedmousavi Invasive Fungi Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  • David W Denning The University of Manchester, Manchester, United Kingdom
Keywords: Candida, Aspergillus, vulvovaginal candidiasis, tinea capitis, burden of fungal infections, Iran

Abstract

Introduction: The number of fungal infections occurring each year in Iran is not known. As the burden of fungal disease is a measure used to assess and compare the relative impact of different type of fungal diseases on populations, we have estimated the burden of fungal diseases in Iran.

Methodology: We estimated the burden of human fungal diseases based on the specific populations at risk, existing epidemiological data in both local and international databases, and modelling previously described by the LIFE program (http://www.LIFE-worldwide.org).

Results: Among the population of Iran (79,926,270 in 2016), 6,670,813 (8.3%) individuals are estimated to suffer from a fungal infection each year. A total of 2,791,568 women aged between 15 and 50 years are estimated to suffer from recurrent vulvovaginal candidiasis, annually. In addition, considering the 13.3% prevalence rate of tinea capitis in children, a total of 2,552,624 cases per year are estimated. The estimated burden of invasive aspergillosis in the 3 groups of patients with hematologic malignancy, lung cancer and chronic pulmonary obstructive disease was 6394 (8.0 per 100,000). The estimate for the burden of allergic disease related to fungi including allergic bronchopulmonary aspergillosis, severe asthma with fungal sensitization and allergic fungal rhinosinusitis was 272,095 (340 per 100,000). Based on the 28,663 cases of HIV infection reported, an estimated 900 and 113 cases with pneumocystosis and cryptococcal meningitis are annually anticipated, respectively.

Conclusion: Our estimates indicate that the importance of fungal infections is high but overlooked in Iran, which warrants further actions by health care authorities.

Published
2018-10-31
How to Cite
1.
Hedayati M, Tagizadeh Armaki M, Yazdani Charati J, Hedayati N, Seyedmousavi S, Denning D (2018) Burden of fungal infections in Iran. J Infect Dev Ctries 12:910-918. doi: https://doi.org/10.3855/jidc.10476
Section
Original Articles