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A Catheter-Related Candida albicans Infection Model in Mouse
Published on: March 22, 2024
Candidaemia in patients with an inserted medical device
1Institute of Clinical Infectious Diseases, Catholic University, Rome, Italy. rcauda@rm.unicatt.it
Abstract:
The importance of medical devices as a source of infection has been increasingly appreciated. Candida spp. are responsible for a significantly increasing number of device-related infections, particularly those involving the bloodstream and urinary tract. A wide range of devices may be colonized by Candida spp., including central venous catheters, cardiac devices, and knee and hip prostheses. Medical device infections invariably require antifungal therapy and, in many cases, device removal, with associated hazards to some patients. Currently recommended treatments include amphotericin B formulations, azoles and echinocandins. The echinocandins, with efficacy against Candida biofilms, may have a role in the future in improved lock therapy for the treatment of device-associated candidal infections.
Insights
Candida species increasingly cause medical device infections, particularly bloodstream and urinary tract infections. Antifungal treatments like echinocandins show promise for future therapies, especially for device-associated candidal infections.
Area of Science:
- Medical microbiology
- Infectious diseases
- Biomedical engineering
Background:
- Medical devices are recognized as significant sources of healthcare-associated infections.
- Candida species are increasingly implicated in device-related infections, affecting various sites like the bloodstream and urinary tract.
Purpose of the Study:
- To highlight the growing problem of Candida species in medical device infections.
- To review current treatment strategies and explore future therapeutic options.
Main Methods:
- Literature review on device-related candidal infections.
- Analysis of current antifungal treatment guidelines.
- Evaluation of emerging therapies, including echinocandins.
Main Results:
- Candida colonization affects diverse medical devices such as catheters, cardiac devices, and prostheses.
- Device-related candidal infections necessitate antifungal treatment and often device removal.
- Echinocandins demonstrate efficacy against Candida biofilms.
Conclusions:
- Medical device-associated candidal infections pose a significant clinical challenge.
- Current treatments involve amphotericin B, azoles, and echinocandins.
- Echinocandins may offer future advantages in lock therapy for device-associated candidal infections due to their anti-biofilm activity.
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