The morbidity and mortality of invasive fungal infections are rising gradually. In recent years, fungi have quietly evolved stronger defense capabilities and increased resistance to antibiotics, posing huge challenges to maintaining physical health. Therefore, developing new drugs and strategies to combat these invasive fungi is crucial. There are a large number of microorganisms in the intestinal tract of mammals, collectively referred to as intestinal microbiota. At the same time, these native microorganisms co-evolve with their hosts in symbiotic relationship. Recent researches have shown that some probiotics and intestinal symbiotic bacteria can inhibit the invasion and colonization of fungi. In this paper, we review the mechanism of some intestinal bacteria affecting the growth and invasion of fungi by targeting the virulence factors, quorum sensing system, secreting active metabolites or regulating the host anti-fungal immune response, so as to provide new strategies for resisting invasive fungal infection.
Invasive infections caused by methicillin‐resistant Staphylococcus aureus (MRSA) are associated with high mortality and morbidity. The sooner the pathogen is determined, the better it is beneficial to patient. However, routine laboratory inspections are time‐consuming and laborious. A thorough research was conducted in PubMed and Web of Science (until June 2021) to identify studies evaluating the accuracy of MRSA identification by matrix‐assisted laser desorption/ionization time‐of‐flight mass spectrometry (MALDI‐TOF MS). STATA 15.0 software was used to analyze the pooled results of sensitivity, specificity, and 95% confidence intervals (CI). The summary receiver operating characteristic curves (SROC) and area under the curve (AUC) were utilized to show the overall performance of MALDI‐TOF MS. Fifteen studies involving 2471 isolates were included in this study after the final selection in this meta‐analysis. Using the random effects model forest plot to summarize the overall statistics, the sensitivity of MALDI‐TOF MS for identifying MRSA was 92% (95% CI: 81%–97%), and the specificity was 97% (95% CI: 89%–99%). In the SROC curve, the AUC reached 0.99 (95% CI: 97%–99%). Deeks’ test showed no significant publication bias in this meta‐analysis. Compared with clinical reference methods, MALDI‐TOF MS identification of MRSA shows a higher degree of sensitivity and specificity.
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