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Invasive candidiasis: Risk factor for mortality in a pediatric tertiary care hospital in south of Brazil.
Rodrigues, Luiza Souza; Motta, Fabio Araujo; Picharski, Gledson Luiz; Vasconcelos, Thaís Muniz; Riccieri, Marinei Campos; Dalla-Costa, Libera Maria.
Afiliación
  • Rodrigues LS; Faculdades Pequeno Príncipe.
  • Motta FA; Instituto de Pesquisa Pelé Pequeno Príncipe.
  • Picharski GL; Hospital Pequeno Príncipe, Curitiba, PR, Brazil.
  • Vasconcelos TM; Instituto de Pesquisa Pelé Pequeno Príncipe.
  • Riccieri MC; Faculdades Pequeno Príncipe.
  • Dalla-Costa LM; Instituto de Pesquisa Pelé Pequeno Príncipe.
Medicine (Baltimore) ; 98(23): e15933, 2019 Jun.
Article en En | MEDLINE | ID: mdl-31169713
BACKGROUND: Invasive candidiasis (IC) is a major cause of morbimortality in children. Previous studies described the clinical characteristics and risk factors for this infection; however, limited data are available on the predictors of mortality in these patients. In this context, we evaluated the risk factors associated with death due to IC in a pediatric tertiary care hospital in South of Brazil. METHODS: This is a retrospective, cross-sectional, observational, and analytical study of a series of pediatric patients with clinical and laboratory diagnosis of IC from March 2014 to September 2017. Univariate and multivariate analysis were performed to estimate the association between the characteristics of the patients and death. RESULTS: A total of 94 cases of IC were included. The incidence was 1.13 cases per 1000 patients/d, with a mortality rate of 14%. There was a predominance of non-albicans Candida (71.3%) in IC cases and, although there is no species difference in mortality rates, biofilm formation was associated with increased mortality. Clinical characteristics such as male sex, stay in the intensive care unit, and thrombocytopenia; comorbidities such as cardiological disease and renal insufficiency; and risks such as mechanical ventilation and dialysis were associated with increased mortality. CONCLUSION: Data from this study suggest that biofilm formation by Candida sp. is associated with increased mortality, and this is the first study to correlate the male sex and cardiological disease as risk factors for death in pediatric IC patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Candida / Biopelículas / Candidiasis Invasiva Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: Medicine (Baltimore) Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Candida / Biopelículas / Candidiasis Invasiva Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: Medicine (Baltimore) Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos