title: Candiduria in those over 85 years old: a retrospective study of 73 patients.
abstract: OBJECTIVE
  Candiduria is a common finding in the growing population of very old patients that has not been previously studied. The objective was to study candiduria in the population aged 85 and over, including an estimation of the incidence, factor of acquisition, and evaluation of treatment and mortality.
  
  
  METHODS
  Retrospective monocentric study. Materials medical charts of patients aged of 85 and over who have candiduria diagnosed at Nimes University Hospital.
  
  
  RESULTS
  The prevalence of candiduria in the hospitalized very old patients was 8.9%. More than half of strains isolated were C. albicans (59%). Mean age was 89.7 years old with 53 women and 20 men. Urinary catheter (55%) and prior antibiotic use (67%) were commonly found. Fifteen patients with candiduria were treated, consistently with fluconazole. Patients treated had higher Mini Mental Test score than the others. A high C-reactive protein level, Mac Cabe score or Charlson's score >7 were associated with 6 months mortality.
  
  
  CONCLUSIONS
  Episodes of candiduria in oldest old were associated with frailty and vulnerability of the patient. The medical decision for antifungal treatment is usually difficult to make but it did not seem to influence mortality.
authors.affiliation: Department of Geriatrics, Ales Cevennes Hospital, France. tfraisse@yahoo.fr
authors.forename: Thibaut
authors.initials: T
authors.lastname: Fraisse
authors.forename: Julien
authors.initials: J
authors.lastname: Crouzet
authors.forename: Laurence
authors.initials: L
authors.lastname: Lachaud
authors.forename: Anne
authors.initials: A
authors.lastname: Durand
authors.forename: Sylvie
authors.initials: S
authors.lastname: Charachon
authors.forename: Jean Philippe
authors.initials: JP
authors.lastname: Lavigne
authors.forename: Albert
authors.initials: A
authors.lastname: Sotto
mesh_terms: D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000627:therapeutic use; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000188:drug therapy / Q000453:epidemiology* / Q000401:mortality; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D015995:Prevalence; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents