Risk factors for fatal candidemia caused by Candida albicans and non-albicans Candida species View Full Text


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Article Info

DATE

2005-04-07

AUTHORS

Ming-Fang Cheng, Yun-Liang Yang, Tzy-Jyun Yao, Chin-Yu Lin, Jih-Shin Liu, Ran-Bin Tang, Kwok-Woon Yu, Yu-Hua Fan, Kai-Sheng Hsieh, Monto Ho, Hsiu-Jung Lo

ABSTRACT

BackgroundInvasive fungal infections, such as candidemia, caused by Candida species have been increasing. Candidemia is not only associated with a high mortality (30% to 40%) but also extends the length of hospital stay and increases the costs of medical care. Sepsis caused by Candida species is clinically indistinguishable from bacterial infections. Although, the clinical presentations of the patients with candidemia caused by Candida albicans and non-albicans Candida species (NAC) are indistinguishable, the susceptibilities to antifungal agents of these species are different. In this study, we attempted to identify the risk factors for candidemia caused by C. albicans and NAC in the hope that this may guide initial empiric therapy.MethodsA retrospective chart review was conducted during 1996 to 1999 at the Veterans General Hospital-Taipei.ResultsThere were 130 fatal cases of candidemia, including 68 patients with C. albicans and 62 with NAC. Candidemia was the most likely cause of death in 55 of the 130 patients (42.3 %). There was no significant difference in the distribution of Candida species between those died of candidemia and those died of underlying conditions. Patients who had one of the following conditions were more likely to have C. albicans, age ≧ 65 years, immunosuppression accounted to prior use of steroids, leukocytosis, in the intensive care unit (ICU), and intravascular and urinary catheters. Patients who had undergone cancer chemotherapy often appeared less critically ill and were more likely to have NAC.ConclusionClinical and epidemiological differences in the risk factors between candidemia caused by C. albicans and NAC may provide helpful clues to initiate empiric therapy for patients infected with C. albicans versus NAC. More... »

PAGES

22

References to SciGraph publications

  • 2003-09-09. Central venous catheter (CVC)-related infections in neutropenic patients in ANNALS OF HEMATOLOGY
  • 2003-03. Current concepts in the management of fungal peritonitis in CURRENT INFECTIOUS DISEASE REPORTS
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    http://scigraph.springernature.com/pub.10.1186/1471-2334-5-22

    DOI

    http://dx.doi.org/10.1186/1471-2334-5-22

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1039201038

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15813977


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