1. Investigation of the possible association between nosocomial candiduria and candidaemia.
- Author
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Binelli, C. A., Moretti, M. L., Assis, R. S., Sauaia, N., Menezes, P. R., Ribeiro, E., Geiger, D. C. P., Mikami, Y., Miyaji, M., Oliveira, M. S., Barone, A. A., and Levin, A. S.
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NOSOCOMIAL infections , *BACTERIA , *HOSPITAL care , *MICROBIOLOGY , *URINE , *BLOOD - Abstract
This study aimed to determine whether candiduria is associated with the occurrence of nosocomial candidaemia. In the case-control part of the study, 115 cases (nosocomial candidaemia) and 115 controls (nosocomial bacteraemia) were similar in age, severity of condition and time of hospitalisation. There was a significant association of candidaemia with candiduria (OR 9.79; 95% CI 2.14–44.76). In the microbiology part of the study, 23 pairs of Candida-positive urine and blood cultures were obtained from 23 patients. In ten (43%) cases, the urine and blood culture isolates belonged to different species, and molecular typing showed a difference in two of the 13 cases yielding the same species from both specimens. Overall, there was a significant association between candiduria and candidaemia, but the Candida isolates from urine and blood were different for 52% of the patients. Thus, the data indicated that the urinary tract was probably not a source for the candidaemia. [ABSTRACT FROM AUTHOR]
- Published
- 2006
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