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[Candiduria].

Jean-Philippe Lavigne1, Albert Sotto

  • 1Laboratoire de Bactériologie, Virologie, Parasitologie, Groupe Hospitalo-Universitaire de Carémeau, CHU de Nîmes, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|July 8, 2005
PubMed
Summary
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Fungal urinary tract infections (UTIs) caused by Candida are rising, particularly in hospitals. This review clarifies risk factors, diagnosis, and treatment for candiduria, addressing challenges in distinguishing colonization from infection.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Urology

Context:

  • Increasing incidence of fungal urinary tract infections (UTIs), primarily Candida species, noted in the past decade.
  • Hospitalized patients represent a significant demographic affected by these infections.
  • Lack of clear diagnostic criteria to differentiate between colonization and true infection, or upper versus lower UTIs.

Purpose:

  • To review the risk factors, epidemiology, and pathogenesis of candiduria.
  • To propose evidence-based diagnostic and treatment strategies for fungal UTIs.
  • To provide guidance for clinical practice in managing candiduria.

Summary:

  • Candida species are increasingly causing UTIs, especially in hospitalized individuals.
  • Current diagnostic criteria are insufficient to distinguish colonization from infection or UTI location.

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  • The review synthesizes current knowledge on risk factors, disease mechanisms, and offers practical management recommendations.

    • Impact:

    • Aids clinicians in accurately diagnosing and effectively treating fungal UTIs.
    • Improves patient outcomes by providing clearer management guidelines.
    • Contributes to better understanding and control of nosocomial candiduria.