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1. Candidurie nosocomiali: analisi dei fattori di rischio, terapia ed evoluzione micologica. Risultati di una indagine nazionale

Author

Elisabetta Faggi, Gianluigi Lombardi, Stefano Andreoni, Esther Manso, Paolo Fazii, Claudio Farina, Gabriella Pini, Gioconda Brigante, Stefania Fracchiolla, Mario Spinelli, Cristina Bonetti, Anna Maria D’Accardo, Giorgio Verna, and Piero Anichini

Subjects
Candiduria, Candidaemia, risk factors, Microbiology, QR1-502
Abstract

The multiple problems associated with the recovery of yeasts from urine specimens induced the Medical Mycology Committee (CoSM) of AMCLI to run a nationwide epidemiologic survey on candiduria in order to evaluate risk factors, involved species, treatment and outcome. Ten hospitals (Bergamo, Como, Crema, Novara,Varese,Ancona, Florence, Pescara, Palermo and Taranto) participated to this study, which was run on a 15-month period (October 1, 2001-December 31, 2002). Overall, 83 Data Forms were collected, regarding patients admitted to Intensive Care Units (45), Surgical (9) and Medical (29) wards. The most common risk factors were: bladder catheter, antibiotic therapy, parenteral nutrition, kidney failure, surgery. Candiduria, mostly asymptomatic, were often associated with fever and bacterial infections. Concurrent candidaemia was detected in 13 patients. Candida albicans was the most frequently recovered species, from both urine and blood, followed by C. glabrata. Other Candida species were occasionally isolated from urine specimens. Specific antifungal treatment was administered to 58% of the patients, mostly using fluconazole. The remaining subjects did not receive antimycotic therapy. Eradication of Candida from urine specimens was observed even without a specific therapy.

Published
2004
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2. 86th Annual Meeting of the Swiss Society for Dermatology and Venereology: Abstracts

Author

Juliette Mazereeuw-Hautier, K. Scharffetter-Kochanek, Stamatis Gregoriou, Efstratios Patsouris, Li-Cheng Yang, Ludwine Messiaen, Jürgen Bauer, Tadashi Tezuka, C. Sunderkötter, Claudia Vente, S. Tajima, M. Heenen, I. Fumal, L.T. Sumanovski, Gérald Pierard, B.R. Yelikar, Claudine Piérard-Franchimont, Thomas Eigentler, Rudolf Happle, Christine Neumann, Keiko Hashimoto, T. Simonart, Rieko Isogai, Kyriaki Aroni, P.L. Bigliardi, Ignacio García-Doval, Rainer Rupprecht, Vito Ingordo, Akihisa Kanamaru, Luigi Naldi, B. Kreft, Yasuhiro Maeda, Y. Ohnishi, Stefania Fracchiolla, Andreas C. Lazaris, Arun C Inamadar, Hiroyuki Suzuki, M. Bigliardi-Qi, Ralph M. Trüeb, Pascale Quatresooz, Caroline van den Broecke, Aparna Palit, M. Grassi, R. Hinrichs, Tetsutaro Sata, Hiroyuki Hara, I. Uhoda, Carlo Tomasini, Emmanouil Agapitos, Sandra Janssens, T. Komatsu, Ulrich M. Caroli, Manuel Cruces, Nikoleta Zakopoulou, Mario Pippione, Toshihiko Matsukura, Akira Kawada, Bruno Colecchia, Wei-Hsin Juan, S. Büchner, T. Rufli, J. Rampf, Jean-Louis Bonafé, M. Merkel, Ayano Honda, Gisela Metzler, Hong-Shang Hong, Frank C. Powell, M. Yajima, Panagiotis G. Stavropoulos, N. Fujimoto, Eugenia Tsagroni, Peter Radny, Hans Bertsch, Jean-Marie Naeyaert, W.C. Marsch, George Kontochristopoulos, A. Kamin, Claus Garbe, A. Essig, J. Wohlrab, Yoshinori Aragane, and Sofie De Schepper

Subjects
medicine.medical_specialty, Venereology, business.industry, Medicine, Dermatology, business
Published
2004

3. Contents Vol. 201, 2000

Author

Isao Hashimoto, K. Kobayashi, Claire Pabion, Emin Ozbek, Brigitte Balme, J.R. Bogner, A. Stoehr, Fatih M. Uckun, A. Yamakage, Michelle Mertz, Ulrike Leiter, David Barzilay, R. Schianchi, T. Lorenzen, Ko-Ron Chen, Ryoji Tanei, Katsuto Tamai, Jivko Kamarashev, Henrik Hjalgrim, Piergiorgio Catalanotti, C. Monteagudo, Rama Malaviya, Sergei A. Grando, Alfredo De Rosa, Martina Kerscher, K. Kuroda, Hideji Hanabusa, A. Plettenberg, Itsuro Matsuo, A. Hatamochi, G. Martínez, A.J. Kanwar, M. David, Ersoy Hazneci, V. Navarro, Sarah Brenner, H. Nagayama, E. Phenig, Hiroko Gomi, D. Sahar, Ritsuko Konta, P. Altmeyer, Mustafa Cekmen, Edith Orion, Ravi Malaviya, Anne-Marie Viallard, Cem Evereklioglu, Brunello Wüthrich, E. Jordá, M. García, G. Bezold, Hideki Yokono, Tadashi Motoori, L. Maron, H. Rasokat, Lars Munksgaard, H. Shinkai, R.M. Ortega del Olmo, S. Serrano-Ortega, M. Feinmesser, K.H. Holubar, C. Prins, Akira Kawada, Luc Thomas, A. Buendia-Eisman, J. Linares Solano, Reinhard Dummer, G. Buchheim, H. Schöfer, Bruno Colecchia, Giovanna Donnarumma, Goro Sasaki, T. Gambichler, Hatsuki Shiraishi, François Skowron, S. Ishikiriyama, R. Bergman, A. Kuten, Adone Baroni, Francesco Figliola, K. Kaspar, G.P. Thami, S. Veraldi, Mads Melbye, Stefania Fracchiolla, Günter Burg, K. Hoffmann, Vito Ingordo, Pelin Ekmekçi, P. Lorenz, H. Albrecht, A.I. Bernal, Tarık Yazar, B. Amichai, Sukhjot Kaur, C. Carrera, Giuliano D’Andria, Masaaki Takahashi, T. Mertenskötter, M. Kobayashi, E. Hodak, A. González, Petra Gottlöber, Muhittin Yürekli, A.-A. Ramelet, Michael O. Kurrer, Monika Hess Schmidt, L. Naldi, Hisamichi Tagami, Masaki Okano, James Quinn, Roberto De Rosa, I. Pinazo, M. Imfeld, Toshiyuki Ohtsuka, Gertraud Krähn, Morten Frisch, Cosetta Minelli, H. Okita, Hamdi Er, Atsuko Kashima, B.T. Burtsche, Paul Scheidegger, T. Kaliebe, Kazuto Yasuda, Satoko Shimizu, H. Serhat Inaloz, E. Martínez, Hideo Orimo, Seiji Sato, C. Tschanz, Ralf-Uwe Peter, Luigi Naldi, Ayşe Boyvat, Martin Grob, Erbak Gürgey, Kensei Katsuoka, H. Aragoneses, Werner Kempf, S. Yamazaki, Anne-Sophie Causeret, and Laurie Lowe

Subjects
Dermatology
Published
2000

4. Candidurie nosocomiali: analisi dei fattori di rischio, terapia ed evoluzione micologica. Risultati di una indagine nazionale

Author

Cristina Bonetti, Gabriella Pini, Elisabetta Faggi, Claudio Farina, Gioconda Brigante, Esther Manso, Piero Anichini, Giorgio Verna, Mario Spinelli, Anna Maria D’Accardo, Stefania Fracchiolla, Stefano Andreoni, Paolo Fazii, and Gianluigi Lombardi

Subjects
medicine.medical_specialty, biology, business.industry, lcsh:QR1-502, General Medicine, Urine, Bladder catheter, biology.organism_classification, Asymptomatic, lcsh:Microbiology, Surgery, Parenteral nutrition, Candiduria, Candidaemia, risk factors, Intensive care, Internal medicine, Medicine, medicine.symptom, business, Candida albicans, Epidemiologic survey, Fluconazole, medicine.drug
Abstract

The multiple problems associated with the recovery of yeasts from urine specimens induced the Medical Mycology Committee (CoSM) of AMCLI to run a nationwide epidemiologic survey on candiduria in order to evaluate risk factors, involved species, treatment and outcome. Ten hospitals (Bergamo, Como, Crema, Novara,Varese,Ancona, Florence, Pescara, Palermo and Taranto) participated to this study, which was run on a 15-month period (October 1, 2001-December 31, 2002). Overall, 83 Data Forms were collected, regarding patients admitted to Intensive Care Units (45), Surgical (9) and Medical (29) wards. The most common risk factors were: bladder catheter, antibiotic therapy, parenteral nutrition, kidney failure, surgery. Candiduria, mostly asymptomatic, were often associated with fever and bacterial infections. Concurrent candidaemia was detected in 13 patients. Candida albicans was the most frequently recovered species, from both urine and blood, followed by C. glabrata. Other Candida species were occasionally isolated from urine specimens. Specific antifungal treatment was administered to 58% of the patients, mostly using fluconazole. The remaining subjects did not receive antimycotic therapy. Eradication of Candida from urine specimens was observed even without a specific therapy.

Published
2004

5. Prevalence and risk factors for superficial fungal infections among Italian Navy Cadets

Author

Stefania Fracchiolla, Vito Ingordo, Bruno Colecchia, and Luigi Naldi

Subjects
Adult, Male, medicine.medical_specialty, Candida intertrigo, Adolescent, Dermatology, Biology, medicine.disease, Surgery, Navy, Military Personnel, Italy, Mycoses, Risk Factors, Environmental health, Epidemiology, medicine, Prevalence, Humans, Female, Risk factor, Mycosis
Abstract

Background: Limited studies on the prevalence and risk factors for superficial mycoses are available. Objective: The aim of this paper was to evaluate the prevalence and risk factors for superficial mycoses (dermatophytes and Candida spp.) in a sample of young Italian people resident at a military school. Methods: A total of 1,024 young cadets from the Italian Navy Petty Officers School in Taranto, including 975 (95.21%) males and 49 (4.79%) females, mean age 22.5 ± 3.0 years (range 18–30), were consecutively examined by the same observer. A complete dermatological examination was performed on all the subjects, and skin scrapings for microscopy and fungal culture were obtained from suspected lesions. All the subjects completed a questionnaire providing information on sports practice, swimming-pool attendance, marching, wearing shower sandals, frequent use of ‘gummed’ shoes, history of severe traumas to the nails, presence of hyperhidrosis and history of superficial mycoses. The affected subjects were also asked if they were aware of their condition. Data were analysed by the Statistical Analysis System, version 8.0. The Fisher exact test and odds ratios were calculated. Results: A total of 33 subjects (3.2%) were found to suffer from a mycologically confirmed fungal infection (3% by dermatophytes and 0.2% by Candida albicans): tinea pedis/Candida intertrigo of the feet was suspected in 126 (12.1%) subjects and confirmed in 30 (2.9%), including 28 cases of tinea pedis and 2 cases of Candida intertrigo; tinea cruris/Candida intertrigo of the groin was suspected in 28 (2.7%) subjects, but confirmed in only 1 case (0.1%); onychomycosis was suspected in 64 (6.1%) subjects and confirmed in 2 cases (0.2%). The organism most frequently responsible in tinea pedis was Trichophyton mentagrophytes var. interdigitale (82.1%). The same species (50%) and T. mentagrophytes var. mentagrophytes (50%) were associated with tinea unguium, Epidermophyton floccosum was the only species detected in tinea cruris. Non-dermatophytic filamentous fungi (Penicillium spp., Fusarium spp., Aspergillus spp. and Paecilomyces spp.), not considered pathogenic, were isolated in 48 samples. None of the risk factors analysed were significantly associated with fungal infection. Only 2 subjects out of the 33 people affected were aware of their condition. They both had tinea pedis. Conclusion: The prevalence of mycoses in sailors living in an Italian military school was lower than rates detected in other military populations. This may be due to the cadets’ lifestyle and environmental conditions. The most frequent infection was tinea pedis, mainly caused by T. interdigitale. None of the investigated risk factors were significantly associated with the disease, and most of the affected individuals were not aware of their condition.

Published
2003

6. Subject Index Vol. 201, 2000

Author

H. Okita, Francesco Figliola, Ravi Malaviya, Martina Kerscher, Brigitte Balme, J.R. Bogner, Katsuto Tamai, James Quinn, Roberto De Rosa, M. Kobayashi, Isao Hashimoto, Sergei A. Grando, Hiroko Gomi, Gertraud Krähn, Ayşe Boyvat, Martin Grob, Kensei Katsuoka, A. Stoehr, Ralf-Uwe Peter, A.J. Kanwar, K. Hoffmann, Erbak Gürgey, Ritsuko Konta, Masaaki Takahashi, P. Altmeyer, Kazuto Yasuda, R. Schianchi, Satoko Shimizu, Luigi Naldi, C. Monteagudo, Muhittin Yürekli, M. García, D. Sahar, Giuliano D’Andria, Alfredo De Rosa, Giovanna Donnarumma, Sarah Brenner, Edith Orion, K. Kaspar, Claire Pabion, Emin Ozbek, A.-A. Ramelet, Henrik Hjalgrim, K. Kuroda, A. Plettenberg, Ulrike Leiter, I. Pinazo, M. Imfeld, Hideo Orimo, Reinhard Dummer, Toshiyuki Ohtsuka, E. Phenig, S. Yamazaki, R. Bergman, A. Kuten, K. Kobayashi, Anne-Sophie Causeret, G. Bezold, A. Buendia-Eisman, E. Martínez, G. Martínez, S. Ishikiriyama, H. Nagayama, G. Buchheim, Morten Frisch, Günter Burg, B.T. Burtsche, T. Mertenskötter, Mustafa Cekmen, Jivko Kamarashev, Cosetta Minelli, Paul Scheidegger, Stefania Fracchiolla, H. Schöfer, Piergiorgio Catalanotti, Ersoy Hazneci, David Barzilay, Hideji Hanabusa, H. Aragoneses, Tadashi Motoori, T. Kaliebe, Mads Melbye, Werner Kempf, Monika Hess Schmidt, L. Naldi, Fatih M. Uckun, Hatsuki Shiraishi, H. Albrecht, H. Rasokat, A. Yamakage, Hamdi Er, Ryoji Tanei, H. Serhat Inaloz, A. González, Rama Malaviya, V. Navarro, E. Hodak, Cem Evereklioglu, Petra Gottlöber, Itsuro Matsuo, A. Hatamochi, Luc Thomas, S. Serrano-Ortega, C. Tschanz, Ko-Ron Chen, K.H. Holubar, T. Lorenzen, C. Prins, M. Feinmesser, A.I. Bernal, Tarık Yazar, J. Linares Solano, Anne-Marie Viallard, Brunello Wüthrich, S. Veraldi, T. Gambichler, E. Jordá, H. Shinkai, François Skowron, M. David, Laurie Lowe, Seiji Sato, R.M. Ortega del Olmo, L. Maron, Hisamichi Tagami, Lars Munksgaard, Sukhjot Kaur, Masaki Okano, Akira Kawada, Atsuko Kashima, C. Carrera, Bruno Colecchia, Michael O. Kurrer, Goro Sasaki, Adone Baroni, G.P. Thami, Vito Ingordo, Pelin Ekmekçi, P. Lorenz, B. Amichai, Michelle Mertz, and Hideki Yokono

Subjects
Index (economics), Statistics, Subject (documents), Dermatology, Mathematics
Published
2000

7. Prevalence and Awareness of Tinea pedis in Italian Sailors

Author

Luigi Naldi, Francesco Figliola, Giuliano D’Andria, Stefania Fracchiolla, Vito Ingordo, and Bruno Colecchia

Subjects
Adult, Male, medicine.medical_specialty, Adolescent, business.industry, Epidermophyton, Prevalence, Tinea Pedis, Dermatology, medicine.disease, Surgery, Random Allocation, Military Personnel, Italy, Trichophyton, Epidemiology, Humans, Medicine, Naval Medicine, business, Foot (unit), Mycosis
Abstract

Background: It is difficult to carry out studies on the prevalence of tinea pedis in the community. Some studies are performed on selected groups of subjects, exposed to the same risk factors, i.e. schoolchildren, public bathers, athletes and military men. Objective: The aim of this work was to detect in a sample of military men the prevalence of tinea pedis and the awareness of their condition, and to relate the infection to risk factors of the group as well. Methods: 410 male Italian navy cadets in an Italian navy petty officers school were clinically examined and mycological cultures were performed, employing the skin scrapings obtained from suspected lesions. Results: Dermatophytes were isolated from toe clefts in 10 subjects, giving a point prevalence of 2.4% (95% confidence interval 1.3–4.4%). The isolated dermatophytes were Trichophyton mentagrophytes (70%), Trichophyton rubrum (20%) and Epidermophyton floccosum (10%). None of the subjects was aware of his disease. No significant association was observed between tinea pedis and risk factors (i.e. hyperhidrosis and habits). Conclusion: The prevalence in our sample was lower than that observed in previous studies on military men. That can be attributed to the general amelioration of hygienic conditions and strengthening of preventive habits. Therefore the prevalence of tinea pedis in Italian sailors seems to be reduced but still rather relevant. That is important because these subjects are a reservoir of ringworm infection.

Published
2000

8. Acknowledgment to Referees for Dermatology

Author

Itsuro Matsuo, A. Hatamochi, Michael O. Kurrer, T. Lorenzen, Anne-Marie Viallard, Brunello Wüthrich, Muhittin Yürekli, Michelle Mertz, Seiji Sato, Isao Hashimoto, Ravi Malaviya, A. Stoehr, B.T. Burtsche, Toshiyuki Ohtsuka, H. Nagayama, Giuliano D’Andria, H. Serhat Inaloz, M. David, Martina Kerscher, Sarah Brenner, Akira Kawada, Ritsuko Konta, J.R. Bogner, P. Altmeyer, S. Veraldi, Alfredo De Rosa, Atsuko Kashima, G. Buchheim, Bruno Colecchia, H. Okita, Hisamichi Tagami, Mustafa Cekmen, H. Schöfer, V. Navarro, I. Pinazo, Ayşe Boyvat, Martin Grob, Hideki Yokono, M. Imfeld, Fatih M. Uckun, Katsuto Tamai, Ralf-Uwe Peter, Sergei A. Grando, Goro Sasaki, David Barzilay, Kensei Katsuoka, A.J. Kanwar, Morten Frisch, Luc Thomas, Mads Melbye, J. Linares Solano, Luigi Naldi, Günter Burg, Masaki Okano, Rama Malaviya, Tadashi Motoori, H. Rasokat, Cosetta Minelli, Adone Baroni, D. Sahar, S. Serrano-Ortega, Giovanna Donnarumma, M. García, K.H. Holubar, K. Hoffmann, Vito Ingordo, Henrik Hjalgrim, E. Hodak, C. Tschanz, R. Bergman, A. Kuten, C. Carrera, Masaaki Takahashi, E. Jordá, H. Shinkai, C. Prins, G. Bezold, Petra Gottlöber, K. Kuroda, Reinhard Dummer, Francesco Figliola, Claire Pabion, Emin Ozbek, S. Ishikiriyama, Hideo Orimo, A. Plettenberg, A.-A. Ramelet, Hamdi Er, Ulrike Leiter, E. Martínez, E. Phenig, Erbak Gürgey, A. Buendia-Eisman, Ersoy Hazneci, Edith Orion, K. Kaspar, T. Mertenskötter, R. Schianchi, S. Yamazaki, Anne-Sophie Causeret, A. Yamakage, L. Maron, R.M. Ortega del Olmo, Kazuto Yasuda, Monika Hess Schmidt, L. Naldi, Cem Evereklioglu, Piergiorgio Catalanotti, Lars Munksgaard, Sukhjot Kaur, T. Gambichler, K. Kobayashi, Ko-Ron Chen, François Skowron, M. Feinmesser, G.P. Thami, Laurie Lowe, Brigitte Balme, Satoko Shimizu, Pelin Ekmekçi, Paul Scheidegger, H. Albrecht, Stefania Fracchiolla, C. Monteagudo, P. Lorenz, B. Amichai, T. Kaliebe, A. González, A.I. Bernal, Tarık Yazar, Jivko Kamarashev, G. Martínez, James Quinn, Roberto De Rosa, H. Aragoneses, Werner Kempf, Gertraud Krähn, Ryoji Tanei, Hideji Hanabusa, M. Kobayashi, Hatsuki Shiraishi, and Hiroko Gomi

Subjects
medicine.medical_specialty, business.industry, Medicine, Dermatology, business
Published
2000

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