The high rate of Candida parapsilosis candidemia among non-burn patients with polytrauma in the surgical intensive care units of a university hospital
Yükleniyor...
Dosyalar
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: Candidemia is a life-threatening infection that has been reported to be associated with poorer outcomes in trauma patients.
The present study aimed to investigate the epidemiology of candidemia in non-burn patients with polytrauma.
Material and Methods: We conducted a retrospective, single-center, observational study of polytrauma patients with candidemia
admitted to the surgical intensive care units of a university hospital in Turkey between 2013 and 2017 on.
Results: The incidence of candidemia was 127 episodes per 1000 intensive care unit admissions in polytrauma patients. Nonalbicans Candida species accounted for 75.5% of all candidemia episodes. C. parapsilosis (51.05%) was the predominant species,
followed by C. albicans (24.52%) and C. tropicalis (12.21%). The highest crude mortality rate (72%) was observed in patients with C.
parapsilosis candidemia. In multivariate analyses, who had undergone prior gastrointestinal surgery were 7.1 times more likely to
have C. parapsilosis candidemia than those with other strains.
Conclusion: Our study, remarkable, demonstrated a high incidence of Candidemia had in polytrauma patients, and non-albicans
Candida species were the most frequently isolated candida species. According to our study findings, a prior history of gastrointestinal
surgery may help predict C. parapsilosis, as the causative agent of candidemia in polytrauma patients. However, since our study was
observational and limited to such a small number of patients, the results obtained should be applied with caution.
Açıklama
Anahtar Kelimeler
Candidemia, Candida parapsilosis, Gastrointestinal surgery, Polytrauma, Surgical intensive care unit
Kaynak
Annals of Medical Research
WoS Q Değeri
Scopus Q Değeri
Cilt
27
Sayı
8
Künye
Bal, T., Cabalak, M., Ozer, B., Comez, M. S., & Onlen, Y. The high rate of Candida parapsilosis candidemia among non-burn patients with polytrauma in the surgical intensive care units of a university hospital.
