Increase in Candida parapsilosis Fungemia in Critical Care Units: A 6-Years Study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-06-04

AUTHORS

Elif Şahin Horasan, Gülden Ersöz, Musa Göksu, Feza Otag, Ahmet Oner Kurt, Sevim Karaçorlu, Ali Kaya

ABSTRACT

ObjectivesWe aimed to asses possible clinically significant differences between C. parapsilosis and other candida species candidemia receiving care in the intensive care unit (ICU) setting.MethodsThe study included 118 adult patients diagnosed as candidemia after admission to the ICU of a university hospital between January 2004 and December 2009. Data about demographic characteristics, underlying diseases, and risk factors for ICU-related candidemia were collected.ResultsDuring the study period, 118 patients with candidemia were identified among 2,853 patients admitted into the ICU. Candidemia was seen in 41.4 cases per 1,000 ICU admissions. The overall incidence of candidemia in ICU patients during the study period was 2.09 per 1,000 hospital admissions. Of the isolates, 18.6% were C. albicans and 81.4% were C. non-albicans. The species most frequently isolated was C. parapsilosis (66.1%, 78/118). The distribution of other Candida spp. was as follows: 15 had C. tropicalis (12.7%) and 3 had C. glabrata (2.5%). By Statistical analysis, when patients with candidemia who had C. parapsilosis were compared with other Candida spp., the following factors were found to be significantly associated with C. parapsilosis fungemia; intravascular catheters (p = 0.008), malignity (p = 0.049) and age (p = 0.039). Relationship was found between C. tropicalis and hematologic malignancies (p = 0.001).ConclusionsWhen infections with a high mortality such as candidemia is suspected in critically ill patients, it is important to know local risk factors and epidemiological distributions of causative agents in selection of empirical and effective antifungal treatment. More... »

PAGES

263-268

References to SciGraph publications

  • 2006-02-10. Epidemiological trends in nosocomial candidemia in intensive care in BMC INFECTIOUS DISEASES
  • 2007-05-25. Candidemia in immunocompromised and immunocompetent critically ill patients: a prospective comparative study in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
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    URI

    http://scigraph.springernature.com/pub.10.1007/s11046-010-9322-5

    DOI

    http://dx.doi.org/10.1007/s11046-010-9322-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1015525386

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20524154


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