[Clinical, epidemiological and taxonomic aspects of systemic candidiasis in an intensive care unit].
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).
Hernández Sierra
B
B
Servicio de Cuidados Críticos y Urgencias. Hospital Regional Universitario Carlos Haya, Málaga. España.
Prieto Palomino
M A
MA
Curiel Balsera
E
E
Muñoz Bono
J
J
Quesada García
G
G
Arias Verdú
M D
MD
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