title: Candida guilliermondii fungemia in hospitalized patients epidemiologically linked to a patient care attendant.
abstract: We investigated an outbreak of Candida guilliermondii fungemia with a fatality rate of 54% that occurred during a 19-month period among patients hospitalized in a tertiary care hospital. The hiring of an external care attendant during hospitalization was epidemiologically linked to case patients (100% vs 3% of the controls, P < .001). Subsequent investigation of the outbreak and disclosure of the findings were associated with an end to the epidemic.
authors.affiliation: School of Medicine, University Francisco de Vitoria, Madrid, Spain; Colegio de Médicos de Madrid, Madrid, Spain. Electronic address: angasenve@gmail.com.
authors.forename: Angel
authors.initials: A
authors.lastname: Asensio
authors.affiliation: Colegio de Médicos de Madrid, Madrid, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Muñez
authors.affiliation: School of Medicine, University Francisco de Vitoria, Madrid, Spain; Colegio de Médicos de Madrid, Madrid, Spain.
authors.forename: Mireia
authors.initials: M
authors.lastname: Cantero
authors.affiliation: Colegio de Médicos de Madrid, Madrid, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ramos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000453:epidemiology* / Q000382:microbiology; D016022:Case-Control Studies; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks; D016469:Fungemia / Q000453:epidemiology* / Q000382:microbiology; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D005791:Patient Care; D062606:Tertiary Care Centers
keywords: Case-control study; Fungemia; Nosocomial outbreak