title: [Clinical, epidemiological and taxonomic aspects of systemic candidiasis in an intensive care unit].
abstract: The clinical and epidemiological profile and survival of patients admitted into our intensive care unit (ICU) was analyzed. A retrospective-prospective case series from 2002 to 2004 and 2005 to 2006, respectively, of patients diagnosed with systemic candidiasis in an ICU in a tertiary hospital was studied. Twenty-six cases with systemic candidiasis were included (75% of the cases were male). These subjects underwent multiple vascular or drainage interventions and had a prolonged length of stay in ICU. The first motive to enter ICU was sepsis. Candida albicans (CA) was isolated in 53.8% of cases versus 46.2% for other Candidae (CNA). Over the last years, we have observed a progressively higher incidence for CNA (p = 0.02). We registered an especially high mortality rate (42%), that is higher in the CA group. <<Sevilla Score>> defined the mortality in the progressive risk groups (p = 0.026).
authors.affiliation: Servicio de Cuidados Críticos y Urgencias. Hospital Regional Universitario Carlos Haya, Málaga. España.
authors.forename: B
authors.initials: B
authors.lastname: Hernández Sierra
authors.forename: M A
authors.initials: MA
authors.lastname: Prieto Palomino
authors.forename: E
authors.initials: E
authors.lastname: Curiel Balsera
authors.forename: J
authors.initials: J
authors.lastname: Muñoz Bono
authors.forename: G
authors.initials: G
authors.lastname: Quesada García
authors.forename: M D
authors.initials: MD
authors.lastname: Arias Verdú
mesh_terms: D002175:Candida / Q000145:classification* / Q000302:isolation & purification; D002177:Candidiasis / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies