title: Urinary tract infections due to Trichosporon spp. in severely ill patients in an intensive care unit.
abstract: OBJECTIVE
  To evaluate the incidence of urinary tract infections due to Trichosporon spp. in an intensive care unit.
  
  
  METHODS
  This descriptive observational study was conducted in an intensive care unit between 2007 and 2009. All consecutive patients admitted to the intensive care unit with a confirmed diagnosis were evaluated.
  
  
  RESULTS
  Twenty patients presented with urinary tract infections due to Trichosporon spp. The prevalence was higher among men (65%) and among individuals > 70 years of age (55%). The mortality rate was 20%. The average intensive care unit stay was 19.8 days. The onset of infection was associated with prior use of antibiotics and was more frequent in the fall and winter.
  
  
  CONCLUSIONS
  Infection due to Trichosporon spp. was more common in men and among those > 70 years of age and was associated with the use of an indwelling urinary catheter for more than 20 days and with the use of broadspectrum antibiotics for more than 14 days. In addition, patients with urinary infection due to Trichosporon spp. were most often hospitalized in intensive care units in the fall and winter periods.
authors.affiliation: Departamento de Cirurgia, Escola Superior de Ciências, Santa Casa de Misericórdia de Vitória, Vitória, ES, BR.
authors.forename: Maria das Graças Silva
authors.initials: Md
authors.lastname: Mattede
authors.affiliation: Departamento de Cirurgia, Universidade Federal do Espírito Santo, Vitória, ES, BR.
authors.forename: Cláudio
authors.initials: C
authors.lastname: Piras
authors.affiliation: Departamento de Cirurgia, Escola Superior de Ciências, Santa Casa de Misericórdia de Vitória, Vitória, ES, BR.
authors.forename: Kelly Dematte Silva
authors.initials: KD
authors.lastname: Mattede
authors.affiliation: Departamento de Cirurgia, Escola Superior de Ciências, Santa Casa de Misericórdia de Vitória, Vitória, ES, BR.
authors.forename: Aline Trugilho
authors.initials: AT
authors.lastname: Ferrari
authors.affiliation: Departamento de Cirurgia, Escola Superior de Ciências, Santa Casa de Misericórdia de Vitória, Vitória, ES, BR.
authors.forename: Lorena Simões
authors.initials: LS
authors.lastname: Baldotto
authors.affiliation: Departamento de Cirurgia, Escola Superior de Ciências, Santa Casa de Misericórdia de Vitória, Vitória, ES, BR.
authors.forename: Michel Silvestre Zouain
authors.initials: MS
authors.lastname: Assbu
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D015331:Cohort Studies; D005260:Female; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012621:Seasons; D012737:Sex Factors; D014250:Trichosporon / Q000302:isolation & purification*; D060586:Trichosporonosis / Q000453:epidemiology* / Q000382:microbiology; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents