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Candidaemia in polish hospitals – a multicentre survey

2013; Wiley; Volume: 56; Issue: 5 Linguagem: Inglês

10.1111/myc.12077

1439-0507

Urszula Nawrot, Magdalena Pajączkowska, M. Fleischer, Hanna Przondo‐Mordarska, Alfred Samet, Dorota Piasecka‐Pazik, J. Komarnicka, Beata Sulik‐Tyszka, Ewa Swoboda‐Kopeć, Justyna Cieślik, Agnieszka Mikucka, Eugenia Gospodarek, Tomasz Ozorowski, Anna Mól, Elżbieta Tryniszewska, Wioletta Kłosowska, Małgorzata Krawczyk, Krzysztof Golec, L Szymaniak, Stefania Giedrys‐Kalemba, I Bilska, Jolanta Prawda‐Zołotar, Małgorzata Juszczyk‐Grudzińska, Małgorzata Wróblewska, Krzysztof Burdynowski,

Poisoning and overdose treatments

Summary Significant changes in the frequency of candidaemia and the distribution of causative species have been noted worldwide in the last two decades. In this study, we present the results of the first multicentre survey of fungaemia in Polish hospitals. A total of 302 candidaemia episodes in 294 patients were identified in 20 hospitals during a 2‐year period. The highest number of infections was found in intensive care (30.8%) and surgical (29.5%) units, followed by haematological (15.9%), ‘others’ (19.2%) and neonatological (4.6%) units. Candida albicans was isolated from 50.96% of episodes; its prevalence was higher in intensive care unit and neonatology (61.22% and 73.33%, respectively), and significantly lower in haematology (22%; P < 0.001). The frequency of C. krusei and C. tropicalis was significantly higher (24% and 18%) in haematology ( P < 0.02); whereas, the distribution of C. glabrata (14.1%) and C. parapsilosis (13.1%) did not possess statistically significant differences between compared departments. Obtained data indicates that species distribution of Candida blood isolates in Polish hospitals reflects worldwide trends, particularly a decrease in the prevalence of infections due to C. albicans .