Clinical and epidemiological aspects of Candidemia in eight medical centers in the state of Parana, Brazil: Parana Candidemia Network
Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state...
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| Published in: | The Brazilian journal of infectious diseases Vol. 25; no. 1; p. 101041 |
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| Main Authors: | , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Brazil
Elsevier España, S.L.U
01-01-2021
Contexto Elsevier Brazilian Society of Infectious Diseases |
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| Abstract | Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state of Parana, South of Brazil.
In this study, we reported 100 episodes of candidemia in patients admitted to eight different hospitals in five cities of the state of Parana, Brazil, using data collected locally (2016 and 2017) and tabulated online.
The incidence was found to be 2.7 / 1000 patients / day and 1.2 / 1000 admissions. C. albicans was responsible for 49% of all candidemia episodes. Cancer and surgery were the two most common underlying conditions associated with candidemia. The mortality rate within 30 days was 48%, and removal of the central venous catheter (p = 0.029) as well as empirical or prophylactic exposure to antifungals were both related to improved survival (p = 0.033).
This study highlights the high burden and mortality rates of candidemia in hospitals from Parana as well as the need to enhance antifungal stewardship program in the enrolled medical centers. |
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| AbstractList | Objectives: Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state of Parana, South of Brazil. Methods: In this study, we reported 100 episodes of candidemia in patients admitted to eight different hospitals in five cities of the state of Parana, Brazil, using data collected locally (2016 and 2017) and tabulated online. Results: The incidence was found to be 2.7 / 1000 patients / day and 1.2 / 1000 admissions. C. albicans was responsible for 49% of all candidemia episodes. Cancer and surgery were the two most common underlying conditions associated with candidemia. The mortality rate within 30 days was 48%, and removal of the central venous catheter (p = 0.029) as well as empirical or prophylactic exposure to antifungals were both related to improved survival (p = 0.033). Conclusions: This study highlights the high burden and mortality rates of candidemia in hospitals from Parana as well as the need to enhance antifungal stewardship program in the enrolled medical centers. [C] 2020 Sociedade Brasileira de Infectologia. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license ( OBJECTIVESCandida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state of Parana, South of Brazil. METHODSIn this study, we reported 100 episodes of candidemia in patients admitted to eight different hospitals in five cities of the state of Parana, Brazil, using data collected locally (2016 and 2017) and tabulated online. RESULTSThe incidence was found to be 2.7 / 1000 patients / day and 1.2 / 1000 admissions. C. albicans was responsible for 49% of all candidemia episodes. Cancer and surgery were the two most common underlying conditions associated with candidemia. The mortality rate within 30 days was 48%, and removal of the central venous catheter (p = 0.029) as well as empirical or prophylactic exposure to antifungals were both related to improved survival (p = 0.033). CONCLUSIONSThis study highlights the high burden and mortality rates of candidemia in hospitals from Parana as well as the need to enhance antifungal stewardship program in the enrolled medical centers. Objectives: Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state of Parana, South of Brazil. Methods: In this study, we reported 100 episodes of candidemia in patients admitted to eight different hospitals in five cities of the state of Parana, Brazil, using data collected locally (2016 and 2017) and tabulated online. Results: The incidence was found to be 2.7 / 1000 patients / day and 1.2 / 1000 admissions. C. albicans was responsible for 49% of all candidemia episodes. Cancer and surgery were the two most common underlying conditions associated with candidemia. The mortality rate within 30 days was 48%, and removal of the central venous catheter (p = 0.029) as well as empirical or prophylactic exposure to antifungals were both related to improved survival (p = 0.033). Conclusions: This study highlights the high burden and mortality rates of candidemia in hospitals from Parana as well as the need to enhance antifungal stewardship program in the enrolled medical centers. Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state of Parana, South of Brazil. In this study, we reported 100 episodes of candidemia in patients admitted to eight different hospitals in five cities of the state of Parana, Brazil, using data collected locally (2016 and 2017) and tabulated online. The incidence was found to be 2.7 / 1000 patients / day and 1.2 / 1000 admissions. C. albicans was responsible for 49% of all candidemia episodes. Cancer and surgery were the two most common underlying conditions associated with candidemia. The mortality rate within 30 days was 48%, and removal of the central venous catheter (p = 0.029) as well as empirical or prophylactic exposure to antifungals were both related to improved survival (p = 0.033). This study highlights the high burden and mortality rates of candidemia in hospitals from Parana as well as the need to enhance antifungal stewardship program in the enrolled medical centers. [C] 2020 Sociedade Brasileira de Infectologia. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). ABSTRACT Objectives: Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study evaluated the clinical findings, local epidemiology, and microbiological aspects of candidemia in eight tertiary medical centers in the state of Parana, South of Brazil. Methods: In this study, we reported 100 episodes of candidemia in patients admitted to eight different hospitals in five cities of the state of Parana, Brazil, using data collected locally (2016 and 2017) and tabulated online. Results: The incidence was found to be 2.7 / 1000 patients / day and 1.2 / 1000 admissions. C. albicans was responsible for 49% of all candidemia episodes. Cancer and surgery were the two most common underlying conditions associated with candidemia. The mortality rate within 30 days was 48%, and removal of the central venous catheter (p = 0.029) as well as empirical or prophylactic exposure to antifungals were both related to improved survival (p = 0.033). Conclusions: This study highlights the high burden and mortality rates of candidemia in hospitals from Parana as well as the need to enhance antifungal stewardship program in the enrolled medical centers. |
| ArticleNumber | 101041 |
| Audience | Academic |
| Author | Helbel, Cesar Queiroz-Telles, Flávio Czelusniak, Gerson Breda, Giovanni Luis Colombo, Arnaldo Lopes Petinelli, Renan de Oliveira, Carla Sakuma Francisco, Elaine Cristina Perozin, Jamile Sardi Pinheiro, Rosangela Lameira Cognialli, Regielly de Carvalho, Mariza Cristina Preifz de Lima, Bernardo Paz Morales, Hugo Manuel Gandra, Rinaldo F. Pelison, Marsilene Carrilho, Cláudia Maria Dantas de Maia |
| AuthorAffiliation | Hospital Universitário do Oeste do Paraná Universidade Federal do Paraná Hospital Erasto Gaertner Hospital Universitário dos Campos Gerais Hospital Universitário Regional Norte Hospital Santa Casa de Maringá Hospital do Câncer de Londrina Hospital do Câncer UOPECCAN Universidade Federal de São Paulo |
| AuthorAffiliation_xml | – name: Hospital do Câncer UOPECCAN – name: Hospital do Câncer de Londrina – name: Hospital Santa Casa de Maringá – name: Hospital Universitário do Oeste do Paraná – name: Universidade Federal de São Paulo – name: Hospital Erasto Gaertner – name: Hospital Universitário Regional Norte – name: Hospital Universitário dos Campos Gerais – name: Universidade Federal do Paraná |
| Author_xml | – sequence: 1 givenname: Carla Sakuma orcidid: 0000-0003-4756-157X surname: de Oliveira fullname: de Oliveira, Carla Sakuma email: csakuma21@yahoo.com.br organization: Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brazil – sequence: 2 givenname: Arnaldo Lopes surname: Colombo fullname: Colombo, Arnaldo Lopes organization: Universidade Federal de São Paulo, Laboratório Especial de Micologia, São Paulo, SP, Brazil – sequence: 3 givenname: Elaine Cristina surname: Francisco fullname: Francisco, Elaine Cristina organization: Universidade Federal de São Paulo, Laboratório Especial de Micologia, São Paulo, SP, Brazil – sequence: 4 givenname: Bernardo surname: de Lima fullname: de Lima, Bernardo organization: Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brazil – sequence: 5 givenname: Rinaldo F. surname: Gandra fullname: Gandra, Rinaldo F. organization: Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brazil – sequence: 6 givenname: Mariza Cristina Preifz surname: de Carvalho fullname: de Carvalho, Mariza Cristina Preifz organization: Hospital do Câncer UOPECCAN, Cascavel, PR, Brazil – sequence: 7 givenname: Cláudia Maria Dantas de Maia surname: Carrilho fullname: Carrilho, Cláudia Maria Dantas de Maia organization: Hospital Universitário Regional Norte, Londrina, PR, Brazil – sequence: 8 givenname: Renan surname: Petinelli fullname: Petinelli, Renan organization: Hospital Universitário Regional Norte, Londrina, PR, Brazil – sequence: 9 givenname: Marsilene surname: Pelison fullname: Pelison, Marsilene organization: Hospital Universitário Regional Norte, Londrina, PR, Brazil – sequence: 10 givenname: Cesar surname: Helbel fullname: Helbel, Cesar organization: Hospital Santa Casa de Maringá, Maringá, PR, Brazil – sequence: 11 givenname: Gerson surname: Czelusniak fullname: Czelusniak, Gerson organization: Hospital Universitário dos Campos Gerais, Ponta Grossa, PR, Brazil – sequence: 12 givenname: Hugo Manuel surname: Paz Morales fullname: Paz Morales, Hugo Manuel organization: Hospital Erasto Gaertner, Curitiba, PR, Brazil – sequence: 13 givenname: Jamile Sardi surname: Perozin fullname: Perozin, Jamile Sardi organization: Hospital do Câncer de Londrina, Londrina, PR, Brazil – sequence: 14 givenname: Rosangela Lameira surname: Pinheiro fullname: Pinheiro, Rosangela Lameira organization: Hospital de Clínicas da Universidade Federal do Paraná, Setor de Micologia, Departamento de Saúde Coletiva, Curitiba, PR, Brazil – sequence: 15 givenname: Regielly surname: Cognialli fullname: Cognialli, Regielly organization: Hospital de Clínicas da Universidade Federal do Paraná, Setor de Micologia, Departamento de Saúde Coletiva, Curitiba, PR, Brazil – sequence: 16 givenname: Giovanni Luis surname: Breda fullname: Breda, Giovanni Luis organization: Hospital de Clínicas da Universidade Federal do Paraná, Setor de Micologia, Departamento de Saúde Coletiva, Curitiba, PR, Brazil – sequence: 17 givenname: Flávio surname: Queiroz-Telles fullname: Queiroz-Telles, Flávio organization: Hospital de Clínicas da Universidade Federal do Paraná, Setor de Micologia, Departamento de Saúde Coletiva, Curitiba, PR, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33370563$$D View this record in MEDLINE/PubMed |
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| Keywords | Candida spp Nosocomial infection Triazoles MIC Antifungal resistance Echinocandins Epidemiology of candidemia |
| Language | English |
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| Snippet | Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore, this study... Objectives: Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore,... [C] 2020 Sociedade Brasileira de Infectologia. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license... OBJECTIVESCandida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality. Therefore,... ABSTRACT Objectives: Candida spp. has been reported as one of the common agents of nosocomial bloodstream infections and is associated with a high mortality.... |
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| Title | Clinical and epidemiological aspects of Candidemia in eight medical centers in the state of Parana, Brazil: Parana Candidemia Network |
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