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Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
[Risk factors associated with multiple-species candidemia]
A Benetucci1, I N Tiraboschi, N Fernández
1División Infectología, Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Av. Córdoba 2351, Piso 3 (1120) Ciudad Autónoma de Buenos Aires, Argentina. micologia@hospitaldeclinicas.uba.ar
Multiple-species candidemia (MSC) is rare but linked to longer hospital stays and central venous catheter use. Identifying and managing these risk factors is key to preventing severe fungal infections.
Area of Science:
- Infectious Diseases
- Mycology
- Hospital Epidemiology
Background:
- Fungal infections, specifically candidemia, have seen a rise in incidence.
- Multiple-species candidemia (MSC) is an uncommon but significant clinical presentation.
Purpose of the Study:
- To investigate the characteristics and risk factors associated with multiple-species candidemia.
- To compare outcomes of MSC with monomicrobial candidemia.
Main Methods:
- Retrospective case-control study.
- Analysis of 155 candidemia cases from 1998-2004.
- Comparison of 7 MSC cases with 21 monomicrobial candidemia cases.
Main Results:
- No significant differences in clinical data or outcomes between MSC and monomicrobial candidemia groups.
- MSC cases showed longer hospital stays (39 vs. 18 days).
- MSC cases had longer central venous catheter dwell times (32 vs. 12 days) and candidemia duration (5 vs. 1 day).
Conclusions:
- While infrequent, MSC is associated with prolonged hospitalization and central venous catheter use.
- Modifiable risk factors, including duration of hospital stay and catheter permanence, contribute to MSC development.
- Management strategies should focus on reducing these risk factors to prevent MSC.
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