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A 9-year Study Comparing Risk Factors and the Outcome of Paediatric and Adults with Nosocomial Candidaemia

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Abstract

Although there are numerous studies of candidaemia in adults, data on paediatrics are still limited. The aim of this study was to compare risk factors, aetiology, therapy, and the outcome of nosocomial candidaemia among paediatric and adult patients in a large Brazilian tertiary hospital (1995–2003). During this period, 78 paediatrics and 113 adults were studied. Species other than Candida albicans caused 78.2% of episodes of candidaemia in paediatrics. Compared to adults, paediatrics received more frequently broad-spectrum antibiotics, vasopressors, blood transfusions, arterial catheter, chest tube, cardiothoracic surgery, mechanical ventilation, and parenteral nutrition. Candidaemia caused by Candida parapsilosis was more common in paediatrics, as was the isolation of Candida spp. from catheters. Amphotericin B treatment was more common in paediatrics. Mortality rate was higher in adults than in paediatrics with nosocomial candidaemia. We reinforce the necessity of continuous epidemiologic surveillance to follow the dynamics of candidaemia.

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Authors and Affiliations

  1. Infection Control Department at Santa Casa Complexo Hospitalar , Brazil and Medicine School at University of Manchester, United Kingdom

    A.C. Pasqualotto

  2. Medicine School at Universidade Federal do Rio Grande do Sul, Brazil

    W.L. Nedel & T.S. Machado

  3. Clinical Mycology Laboratory at Santa Casa Complexo Hospitalar, Brazil

    L.C. Severo

  4. Ruo Prof. André Puente, 1/512 Wilmslow Road, Manchester, M20 4BT, United Kingdom

    A.C. Pasqualotto

Authors
  1. A.C. Pasqualotto
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  2. W.L. Nedel
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  3. T.S. Machado
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  4. L.C. Severo
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Correspondence to A.C. Pasqualotto.

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Pasqualotto, A., Nedel, W., Machado, T. et al. A 9-year Study Comparing Risk Factors and the Outcome of Paediatric and Adults with Nosocomial Candidaemia. Mycopathologia 160, 111–116 (2005). https://doi.org/10.1007/s11046-005-3452-1

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  • DOI: https://doi.org/10.1007/s11046-005-3452-1

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