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Frontiers of Medicine >> 2018, Volume 12, Issue 1 doi: 10.1007/s11684-017-0601-0

Epidemiology of fungal infections in China

1. Department of Dermatology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
2. Shanghai Key Laboratory of Molecular Medical Mycology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
3. Department of Dermatology, Tongji Hospital, Tongji University, Shanghai 200442, China
4. Department of Dermatology, Daping Hospital, Third Military Medical University, Chongqing 400042, China
5. Department of Dermatology, the People’s Hospital of Yan’an, Yan’an 716000, China
6. Department of Dermatology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
7. Department of Dermatology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Accepted: 2018-01-11 Available online: 2018-02-06

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With the increasing number of immunocompromised hosts, the epidemiological characteristics of fungal infections have undergone enormous changes worldwide, including in China. In this paper, we reviewed the existing data on mycosis across China to summarize available epidemiological profiles. We found that the general incidence of superficial fungal infections in China has been stable, but the incidence of tinea capitis has decreased and the transmission route has changed. By contrast, the overall incidence of invasive fungal infections has continued to rise. The occurrence of candidemia caused by species other than and including some uncommon species has increased recently in China. Infections caused by have also propagated in recent years, particularly with the emergence of azole-resistant . An increasing trend of cryptococcosis has been noted in China, with var. ST 5 genotype isolates as the predominant pathogen. Retrospective studies have suggested that the epidemiological characteristics of pneumonia in China may be similar to those in other developing countries. Endemic fungal infections, such as sporotrichosis in Northeastern China, must arouse research, diagnostic, and treatment vigilance. Currently, the epidemiological data on mycosis in China are variable and fragmentary. Thus, a nationwide epidemiological research on fungal infections in China is an important need for improving the country’s health.

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