[Incidence of Candidaemia Following Abdominal Surgery in German Hospitals].
BACKGROUND
Invasive Candida infections following abdominal surgery represent a significant medical problem. This study initiates a benchmarking project to pinpoint the current role and epidemiology of candidemia in this patient group in German hospitals.


METHODS
During the year 2010 data derived from 47 704 abdominal surgery cases in hospitals from Germany were analysed in order to determine benchmarking incidences for candidemia.


CONCLUSIONS
In 20.3 % of all recognised bloodstream infections Candida spp. were identified as the responsible organisms. If related to all abdominal surgery cases analysed in this study, a candidemia-benchmarking incidence of 0.15 % (95 % CI: 0.10-0.21 %) was determined. In patients who required intensive care after surgery the incidence of candidemia was found to be 0.89 % (95 % CI: 0.57-1.38 %). The incidence increased to 3.13 % (95 % CI: 2.09-4.66 %) in patients who received blood culture diagnosis. The German National Reference Centre of Systemic Mycosis provides hospital specific data for participants of this study to enable benchmarking and infection control (www.nrz-mykosen.de/gastrointestinalchirurgie).
Institut für Medizinische Mikrobiologie und Nationales Referenzzentrum für Systemische Mykosen, Universitätsmedizin Göttingen, Deutschland.
M
M
Kuhns
Institut für Genetische Epidemiologie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
A
A
Rosenberger
Institut für Medizinische Mikrobiologie und Nationales Referenzzentrum für Systemische Mykosen, Universitätsmedizin Göttingen, Deutschland.
O
O
Bader
Institut für Medizinische Mikrobiologie und Nationales Referenzzentrum für Systemische Mykosen, Universitätsmedizin Göttingen, Deutschland.
U
U
Reichard
Institut für Medizinische Mikrobiologie und Nationales Referenzzentrum für Systemische Mykosen, Universitätsmedizin Göttingen, Deutschland.
U
U
Gross
Institut für Medizinische Mikrobiologie und Nationales Referenzzentrum für Systemische Mykosen, Universitätsmedizin Göttingen, Deutschland.
M
M
Weig
D019985:Benchmarking; D058387:Candidemia / Q000453:epidemiology*; D003428:Cross Infection / Q000453:epidemiology*; D013505:Digestive System Surgical Procedures / Q000706:statistics & numerical data*; D005858:Germany; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units / Q000706:statistics & numerical data; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology*