BMC infectious diseases · 2026
Epidemiology of source-related candidaemia and breakthrough candidaemia in intensive care units.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Şişman Ayşe Sena, Önal Uğur, Çalışır Büşra, Yılmaz Emel, Kazak Esra, Heper Yasemin, Özkaya Güven, İşçimen Remzi, Özakın Cüneyt, Ener Beyza, Akalın Halis
Аннотация
BACKGROUND: A review of the literature reveals that there is no descriptive epidemiological study based on the source of candidaemia in intensive care units(ICUs). In addition to that the number and scope of studies evaluating breakthrough candidaemia in ICUs are limited. The primary objective of this study was to analyse the epidemiology of candidaemia in our ICUs based on the source of each case, and the secondary aim was to evaluate breakthrough candidaemia.
METHODS: 141 adult patients(≥ 18 years) who had Candida spp. growth in their blood cultures 48 h after admission to an ICU were included in the study. Statistical comparisons were made between groups for abdominal, central venous catheter and primary candidaemia. The level of significance was set at α = 0.05.
RESULTS: In the classification based on the sources of candidaemia, 52 (37%) were abdominal, 32 (23%) were central venous catheter-related, 55 (39%) were primary candidaemia and 2 (1%) were urinary tract-related. Total parenteral nutrition use rates were significantly lower in primary candidaemia than in abdominal candidaemia (p < 0.001). Steroid use rates were significantly higher in primary candidaemia than in abdominal candidaemia (p = 0.021). Mortality rates on days 14 and 28 did not differ significantly according to the source of infection. Beakthrough candidaemia rates were significantly higher in abdominal candidaemia. The acute physiology and chronic health evaluation II (APACHE-II) score at ICU admission was significantly higher in the breakthrough candidaemia(p = 0.037).
CONCLUSIONS: A significant proportion of candidemia cases in our intensive care units were non-catheter-related candidemia. Breakthrough candidaemia was found to be more common in patients with high APACHE-II scores at ICU admission and in candidaemia originating from the abdomen.
METHODS: 141 adult patients(≥ 18 years) who had Candida spp. growth in their blood cultures 48 h after admission to an ICU were included in the study. Statistical comparisons were made between groups for abdominal, central venous catheter and primary candidaemia. The level of significance was set at α = 0.05.
RESULTS: In the classification based on the sources of candidaemia, 52 (37%) were abdominal, 32 (23%) were central venous catheter-related, 55 (39%) were primary candidaemia and 2 (1%) were urinary tract-related. Total parenteral nutrition use rates were significantly lower in primary candidaemia than in abdominal candidaemia (p < 0.001). Steroid use rates were significantly higher in primary candidaemia than in abdominal candidaemia (p = 0.021). Mortality rates on days 14 and 28 did not differ significantly according to the source of infection. Beakthrough candidaemia rates were significantly higher in abdominal candidaemia. The acute physiology and chronic health evaluation II (APACHE-II) score at ICU admission was significantly higher in the breakthrough candidaemia(p = 0.037).
CONCLUSIONS: A significant proportion of candidemia cases in our intensive care units were non-catheter-related candidemia. Breakthrough candidaemia was found to be more common in patients with high APACHE-II scores at ICU admission and in candidaemia originating from the abdomen.