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Risk factors and outcomes of candidemia caused by Candida parapsilosis complex in a medical center in northern Taiwan

Authors :
Jang-Jih Lu
Ching-Tai Huang
Jung-Jr Ye
Shian-Sen Shie
Ting-Shu Wu
Yen-Mu Wu
Po-Yen Huang
Source :
Diagnostic microbiology and infectious disease. 90(1)
Publication Year :
2017

Abstract

To investigate the risk factors and outcomes associated with Candida parapsilosis candidemia, a retrospective study was conducted at a tertiary medical center in northern Taiwan. Patients with C. parapsilosis candidemia and corresponding controls with C. albicans candidemia were chosen and their demographics, comorbidities, risk factors, and clinical outcomes were reviewed. Antifungal susceptibility tests were performed using the Sensititre YeastOne colorimetric system. Matrix-assisted laser desorption ionization-time of flight mass spectrometry was used to classify the genomic species. Of the 270 candidemias found in 253 patients, C. albicans was the most common Candida species isolated (43.0%), followed by C. parapsilosis (22.6%), C. tropicalis (17.4%), and C. glabrata (10.0%). The 30-day mortality of C. parapsilosis candidemia was significantly lower than that of C. albicans candidemia (21.7% vs. 53.9%, P

Details

ISSN :
18790070
Volume :
90
Issue :
1
Database :
OpenAIRE
Journal :
Diagnostic microbiology and infectious disease
Accession number :
edsair.doi.dedup.....e3c37fa260261ce445866dd20759f312