title: Epidemiology and changes in patient-related factors from 1997 to 2009 in clinical yeast isolates related to dermatology, gynaecology, and paediatrics.
abstract: From 1997 to 2009, 1,862 dermatology, gynaecology, and paediatrics (DGP) associated clinical yeast isolates were analysed for species occurrence, specimen origin and type, (multi-) resistance pattern, and testing period. The top seven of the isolated DGP-associated species remained the same as compared to total medical wards, with Candida albicans (45%) as most frequent pathogen. However, the DGP wards and DGP ICUs showed species-specific profiles; that is, the species distribution is clinic-specific similar and however differs in their percentage from ward to ward. By applying the "one fungus one name" principle, respectively, the appropriate current taxonomic species denominations, it has been shown that no trend to emerging species from 1998 to 2008 could be detected. In particular the frequently isolated non-Candida albicans species isolated in the DGP departments have already been detected in or before 1997. As yeasts are part of the cutaneous microbiota and play an important role as opportunistic pathogens for superficial infections, proper identification of the isolates according to the new nomenclature deems to be essential for specific and calculated antifungal therapy for yeast-like DGP-related infectious agents.
authors.affiliation: Klinik für Dermatologie, Venerologie und Allergologie, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Hindenburgdamm 30, 12203 Berlin, Germany.
authors.forename: Viktor
authors.initials: V
authors.lastname: Czaika
authors.affiliation: Laboratorium für medizinische Mikrobiologie, Straße des Friedens 8, 04579 Mölbis, Germany.
authors.forename: Pietro
authors.initials: P
authors.lastname: Nenoff
authors.affiliation: BDH-Klinik Greifswald GmbH, Karl-Liebknecht-Ring 26a, 17491 Greifswald, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Glöckner
authors.affiliation: Institute of Medical Microbiology, Domagkstraße 10, 48149 Münster, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Fegeler
authors.affiliation: Institute of Medical Microbiology, Domagkstraße 10, 48149 Münster, Germany.
authors.forename: Karsten
authors.initials: K
authors.lastname: Becker
authors.affiliation: MBS-Microbiology, P.O. Box 101247, 80086 Munich, Germany.
authors.forename: Arno F
authors.initials: AF
authors.lastname: Schmalreck