• Medicina intensiva · Apr 2009

    [Clinical, epidemiological and taxonomic aspects of systemic candidiasis in an intensive care unit].

    • B Hernández Sierra, M A Prieto Palomino, E Curiel Balsera, J Muñoz Bono, G Quesada García, and M D Arias Verdú.
    • Servicio de Cuidados Críticos y Urgencias. Hospital Regional Universitario Carlos Haya, Málaga. España.
    • Med Intensiva. 2009 Apr 1; 33 (3): 144-7.

    AbstractThe clinical and epidemiological profile and survival of patients admitted into our intensive care unit (ICU) was analyzed. A retrospective-prospective case series from 2002 to 2004 and 2005 to 2006, respectively, of patients diagnosed with systemic candidiasis in an ICU in a tertiary hospital was studied. Twenty-six cases with systemic candidiasis were included (75% of the cases were male). These subjects underwent multiple vascular or drainage interventions and had a prolonged length of stay in ICU. The first motive to enter ICU was sepsis. Candida albicans (CA) was isolated in 53.8% of cases versus 46.2% for other Candidae (CNA). Over the last years, we have observed a progressively higher incidence for CNA (p = 0.02). We registered an especially high mortality rate (42%), that is higher in the CA group. defined the mortality in the progressive risk groups (p = 0.026).

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