Epidemiology of Candida isolates from Intensive Care Units in Colombia from 2010 to 2013 / Epidemiología de aislamientos de Candida en unidades de cuidados intensivos en Colombia durante el período 2010-2013
Rev. iberoam. micol
; 34(1): 17-22, ene.-mar. 2017. tab, graf
Artículo
en Inglés
| IBECS
| ID: ibc-160729
Biblioteca responsable:
ES1.1
Ubicación: BNCS
ABSTRACT
Background. The frequency of Candida isolates as a cause of hospital infections has risen in recent years, leading to high rates of morbidity and mortality. The knowledge of the epidemiology of those hospital acquired fungal infections is essential to implement an adequate antifungal therapy. Aims. To describe the epidemiology of Candida infections in Intensive Care Units (ICUs) from a surveillance network in Colombia. Methods. Information was collected from the microbiology laboratories of 20 tertiary healthcare institutions from 10 Colombian cities using the Whonet® software version 5.6. A general descriptive analysis of Candida species and susceptibility profiles focusing on fluconazole and voriconazole was completed between 2010 and 2013, including a sub-analysis of healthcare associated infections (HAIs) during the last year. Results. Candida isolates made up 94.5% of the 2680 fungal isolates considered, with similar proportions for Candida albicans and non-C. albicans Candida species (48.3% and 51.7%, respectively). Among the latter, Candida tropicalis (38.6%) and Candida parapsilosis (28.5%) were the most frequent species. Of note, among the blood isolates C. albicans was not the main species. Most of the species isolated were susceptible to fluconazole and voriconazole. From the HAIs reported, 25.5% were caused by Candida; central line-associated bloodstream infection was the most common HAI (58.8%). There were no statistically significant differences regarding length of hospital stay and device days among HAIs. Conclusions. In ICUs of Colombia, non-C. albicans Candida species are as frequent as C. albicans, except in blood samples where non-C. albicans Candida isolates predominate. Further studies are needed to evaluate Candida associated risk factors and to determine its clinical impact (AU)
Texto completo:
Disponible
Colección:
Bases de datos nacionales
/
España
Base de datos:
IBECS
Asunto principal:
Candida
/
Candidiasis
/
Cuidados Críticos
/
Candida tropicalis
/
Unidades de Cuidados Intensivos
Tipo de estudio:
Estudio diagnóstico
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Colombia
Idioma:
Inglés
Revista:
Rev. iberoam. micol
Año:
2017
Tipo del documento:
Artículo
Institución/País de afiliación:
Centro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM)/Colombia