[Candidemia in a tertiary hospital in northeastern Brazil].
We conducted a prospective, observational, laboratory-based study on candidemia to investigate the incidence of candidemia, species distribution and clinical conditions between September 2003 and March 2004 in a private tertiary hospital in Recife, northeastern Brazil. Cases of candidemia were defined as occurrences of isolation of Candida spp from blood cultures. The incidence rate was calculated per 1,000 admissions. A total of 5,532 patients were admitted to the hospital during the study period, and 1,745 blood cultures were processed. Twenty-one episodes of candidemia were observed in 18 patients. The incidence rate of candidemia was 3.9 episodes per 1,000 admissions. Non-albicans species accounted for more than 50% of the cases, and Candida parapsilosis (33%) and Candida tropicalis (24%) predominated. Eleven (61%) patients died. The incidence of candidemia was higher than that observed in a Brazilian multicenter study. Candidemia was caused predominantly by non-albicans species.
Núcleo de Ensino, Pesquisa e Assistência em Infectologia, Universidade Federal de Pernambuco, Recife, PE. sylviahinrichsen@hotmail.com
Sylvia Lemos
SL
Hinrichsen
Erika
E
Falcão
Tatiana Aguiar Santos
TA
Vilella
Arnaldo Lopes
AL
Colombo
Márcio
M
Nucci
Líbia
L
Moura
Leandro
L
Rêgo
Conceição
C
Lira
Luciano
L
Almeida
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000627:therapeutic use; D001938:Brazil / Q000453:epidemiology; D002175:Candida / Q000145:classification; D002177:Candidiasis / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D005260:Female; D006769:Hospitals, General; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
D000935:Antifungal Agents
Candidemia em hospital terciário do nordeste do Brasil.