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Emerg Infect Dis ; 26(5): 876-880, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32310077

RESUMEN

Candida auris is an emerging fungal pathogen that is typically resistant to fluconazole and is known to cause healthcare-associated outbreaks. We retrospectively reviewed 28 patients who had >1 positive culture for C. auris within a multisite health system in Illinois, USA, during May 2018-April 2019. Twelve of these patients were treated as inpatients for C. auris infections; 10 (83%) met criteria for clinical success, defined as absence of all-cause mortality, C. auris recurrence, and infection-related readmission at 30 days from the first positive culture. The other 2 patients (17%) died within 30 days. Most patients (92%) were empirically treated with micafungin. Four (14%) of 28 total isolates were resistant to fluconazole, 1 (3.6%) was resistant to amphotericin B, and 1 (3.6%) was resistant to echinocandins. Our findings describe low rates of antifungal resistance and favorable clinical outcomes for most C. auris patients.


Asunto(s)
Antifúngicos , Antifúngicos/farmacología , Antifúngicos/uso terapéutico , Candidiasis Invasiva , Humanos , Illinois/epidemiología , Pruebas de Sensibilidad Microbiana , Estudios Retrospectivos
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