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Candida parapsilosis sepsis in patients with burns: report of six cases

D Green1, J M Still, E J Law

  • 1Humana Hospital-August Burn Unit Augusta, GA.

Insights

Candida Parapsilosis septicemia in burn patients is increasing and poses a treatment challenge. Amphotericin B treatment improved survival rates in affected individuals.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Burn Care

Background:

  • Candida Parapsilosis septicemia presents a growing concern in burn units.
  • This fungal pathogen exhibits increased resistance to antifungal agents compared to other Candida species.

Purpose of the Study:

  • To report on the incidence and outcomes of Candida Parapsilosis septicemia in burn patients.
  • To evaluate the efficacy of Amphotericin B in treating this specific fungal infection.

Main Methods:

  • Retrospective analysis of six burn patients with Candida Parapsilosis septicemia over a three-year period.
  • Comparison of survival rates between treated and untreated patients.

Main Results:

  • Four of the six patients with Candida Parapsilosis septicemia survived after treatment with Amphotericin B.
  • Two untreated patients with the infection did not survive.
  • Candida Parapsilosis demonstrated higher resistance to antifungals than other Candida species.

Conclusions:

  • Candida Parapsilosis septicemia is an emerging threat in burn units, requiring vigilant monitoring.
  • Amphotericin B appears to be an effective treatment for Candida Parapsilosis septicemia in burn patients.
  • The increased antifungal resistance of Candida Parapsilosis necessitates further research into treatment strategies.

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