Candidaemia in a European Paediatric University Hospital: a 10-year observational study

Clin Microbiol Infect. 2012 Feb;18(2):E27-30. doi: 10.1111/j.1469-0691.2011.03720.x. Epub 2011 Dec 19.

Abstract

In this retrospective observational study covering 1998 to 2008, 32 patients (mean age: 7.50 years) were identified that had 35 episodes of candidaemia (0.47 cases/1000 hospital discharges). Cancer/allogeneic haematopoietic stem cell transplantation (43%) and congenital malformations/syndromes (21%) were the predominant underlying conditions. Central venous catheterization (90%), a history of antibacterial therapy (69%) and previous bacteraemia (54%) were frequent comorbidities. Candida albicans (46%) was most common, followed by Candida parapsilosis (17%) and Candida glabrata (14%). Resistance was infrequent and limited to non-albicans Candida spp. The 30-day and 100-day mortality rates were 11.4%.

MeSH terms

  • Adolescent
  • Candida / classification*
  • Candida / drug effects
  • Candida / isolation & purification*
  • Candidemia / epidemiology*
  • Candidemia / microbiology
  • Candidemia / mortality
  • Child
  • Child, Preschool
  • Drug Resistance, Fungal
  • Europe / epidemiology
  • Female
  • Hospitals, Pediatric
  • Hospitals, University
  • Humans
  • Immunocompromised Host
  • Infant
  • Infant, Newborn
  • Male
  • Retrospective Studies
  • Risk Factors
  • Survival Analysis
  • Young Adult