title: Candidaemia in polish hospitals - a multicentre survey.
abstract: Significant changes in the frequency of candidaemia and the distribution of causative species have been noted worldwide in the last two decades. In this study, we present the results of the first multicentre survey of fungaemia in Polish hospitals. A total of 302 candidaemia episodes in 294 patients were identified in 20 hospitals during a 2-year period. The highest number of infections was found in intensive care (30.8%) and surgical (29.5%) units, followed by haematological (15.9%), 'others' (19.2%) and neonatological (4.6%) units. Candida albicans was isolated from 50.96% of episodes; its prevalence was higher in intensive care unit and neonatology (61.22% and 73.33%, respectively), and significantly lower in haematology (22%; P < 0.001). The frequency of C. krusei and C. tropicalis was significantly higher (24% and 18%) in haematology (P < 0.02); whereas, the distribution of C. glabrata (14.1%) and C. parapsilosis (13.1%) did not possess statistically significant differences between compared departments. Obtained data indicates that species distribution of Candida blood isolates in Polish hospitals reflects worldwide trends, particularly a decrease in the prevalence of infections due to C. albicans.
authors.affiliation: Department of Microbiology, Medical University of Wrocław, Wrocław, Poland. urszula.nawrot@umed.wroc.pl
authors.forename: Urszula
authors.initials: U
authors.lastname: Nawrot
authors.forename: Magdalena
authors.initials: M
authors.lastname: Pajączkowska
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Fleischer
authors.forename: Hanna
authors.initials: H
authors.lastname: Przondo-Mordarska
authors.forename: Alfred
authors.initials: A
authors.lastname: Samet
authors.forename: Dorota
authors.initials: D
authors.lastname: Piasecka-Pazik
authors.forename: Jolanta
authors.initials: J
authors.lastname: Komarnicka
authors.forename: Beata
authors.initials: B
authors.lastname: Sulik-Tyszka
authors.forename: Ewa
authors.initials: E
authors.lastname: Swoboda-Kopeć
authors.forename: Justyna
authors.initials: J
authors.lastname: Cieślik
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Mikucka
authors.forename: Eugenia
authors.initials: E
authors.lastname: Gospodarek
authors.forename: Tomasz
authors.initials: T
authors.lastname: Ozorowski
authors.forename: Anna
authors.initials: A
authors.lastname: Mól
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Tryniszewska
authors.forename: Wioletta
authors.initials: W
authors.lastname: Kłosowska
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Krawczyk
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Golec
authors.forename: Ludmiła
authors.initials: L
authors.lastname: Szymaniak
authors.forename: Stefania
authors.initials: S
authors.lastname: Giedrys-Kalemba
authors.forename: Iwona
authors.initials: I
authors.lastname: Bilska
authors.forename: Jolanta
authors.initials: J
authors.lastname: Prawda-Zołotar
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Juszczyk-Grudzińska
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Wróblewska
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Burdynowski
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002175:Candida / Q000145:classification* / Q000302:isolation & purification*; D058387:Candidemia / Q000453:epidemiology* / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology*; D005260:Female; D006761:Hospitals; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D055815:Young Adult
keywords: Candida; Fungaemia; candidaemia; epidemiology; species distribution