title: Candida colonization in intensive care unit patients' urine.
abstract: The objective of this study was to identify possible predisposing factors for candiduria in intensive care unit (ICU) patients from Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Brazil, during one year. Urine samples from 153 ICU patients were obtained by catheterization on admission day and every seven days. Data such as sex, age, antifungal therapy, and variables as antibiotics, underlying diseases or comorbid conditions and stay in the hospital, were collected from patients who had at least one urine culture that yielded > 10(3) yeast colonies/ml. Candiduria was recovered in 68 patients and the commonest predisposing factors were antibiotic therapy (100%) and indwelling urinary catheter (92.6%). The percentage of Candida spp. isolation increased during the extended periods in which patients remained in the ICU. C. albicans was isolated in 69.1%, and the other species non-albicans as C. glabrata, C. kefyr, C. parapsilosis, C. famata, C. guilliermondii, C. krusei, and C. tropicalis were isolated in lower percentage. The high frequency of candiduria and the possible predisposing factors found in ICU patients show that candiduria surveillance should be performed to help reducing nosocomial infections.
authors.affiliation: Universidade Paulista, Goiânia, GO, Brazil.
authors.forename: Xisto Sena
authors.initials: XS
authors.lastname: Passos
authors.forename: Werther Souza
authors.initials: WS
authors.lastname: Sales
authors.forename: Patrícia Jackeline
authors.initials: PJ
authors.lastname: Maciel
authors.forename: Carolina Rodrigues
authors.initials: CR
authors.lastname: Costa
authors.forename: Karla Carvalho
authors.initials: KC
authors.lastname: Miranda
authors.forename: Janine de Aquino
authors.initials: Jde A
authors.lastname: Lemos
authors.forename: Miranildes de Abreu
authors.initials: Mde A
authors.lastname: Batista
authors.forename: Maria do Rosário Rodrigues
authors.initials: Mdo R
authors.lastname: Silva
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000453:epidemiology / Q000652:urine*; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000382:microbiology*