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Generation of Fluorescent Protein Fusions in Candida Species
Published on: March 4, 2017
Cluster of Candida parapsilosis primary bloodstream infection in a neonatal intensive care unit
C L da Silva1, R M dos Santos, A L Colombo
1Disciplina de Doenças Infecciosas e Parasitárias, Depto. de Medicina Preventiva, UFRJ, Rio de Janeiro, Brazil.
Abstract:
Candida parapsilosis is an increasingly important bloodstream pathogen in neonatal intensive care units (NICU). We investigated a cluster of bloodstream infections in a NICU to determine whether nosocomial transmission occurred. During a 3-day period, 3 premature infants hospitalized in the same unit presented with sepsis caused by C. parapsilosis. Electrophoretic karyotype of the organisms was performed by using pulsed field gel electrophoresis in a countour-clamped homogeneous electric field system. The isolate from 1 newborn could not be typed, and the isolates from the remaining 2 infants had identical patterns. All 3 cases are described. We conclude that nosocomial transmission of C. parapsilosis occurred and that neonates under intensive care may represent a risk group for this pathogen.
Insights
Nosocomial transmission of Candida parapsilosis occurred in a neonatal intensive care unit (NICU). Premature infants in the NICU are a risk group for this bloodstream pathogen.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Neonatal Care
Background:
- Candida parapsilosis is a growing cause of bloodstream infections in neonatal intensive care units (NICUs).
- Understanding transmission routes is crucial for infection control in vulnerable infant populations.
Observation:
- A cluster of three sepsis cases caused by C. parapsilosis occurred within a 3-day period in a NICU.
- The affected infants were premature and hospitalized in the same unit.
Findings:
- Pulsed field gel electrophoresis revealed identical electrophoretic karyotype patterns for C. parapsilosis isolates from two of the three infants.
- This genetic similarity strongly suggests a common source of infection.
Implications:
- The findings confirm nosocomial transmission of C. parapsilosis within the NICU.
- Neonates in intensive care settings are identified as a high-risk group for C. parapsilosis infections, necessitating targeted prevention strategies.
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