Epidemiology of adult candidemia at Chiang Mai University Hospital

A retrospective study was conducted between July 1, 2004 and June 30, 2009 at Chiang Mai University Hospital among 138 patients with candidemia; 85 patients (61.6%) were male and the mean age was 57.7 +/- 19.4 years. Seventy-eight patients (56.5%) had underlying medical conditions. Candida albicans...

Full description

Saved in:
Bibliographic Details
Main Authors: Chaiwarith R., Ounbang P., Khamwan C., Nuntachit N., Sirisanthana T., Supparatpinyo K.
Format: Article
Language:English
Published: 2014
Online Access:http://www.ncbi.nlm.nih.gov/pubmed/3502482
http://cmuir.cmu.ac.th/handle/6653943832/3040
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
Language: English
id th-cmuir.6653943832-3040
record_format dspace
spelling th-cmuir.6653943832-30402014-08-30T02:25:41Z Epidemiology of adult candidemia at Chiang Mai University Hospital Chaiwarith R. Ounbang P. Khamwan C. Nuntachit N. Sirisanthana T. Supparatpinyo K. A retrospective study was conducted between July 1, 2004 and June 30, 2009 at Chiang Mai University Hospital among 138 patients with candidemia; 85 patients (61.6%) were male and the mean age was 57.7 +/- 19.4 years. Seventy-eight patients (56.5%) had underlying medical conditions. Candida albicans and non-albicans Candida were identified in 42 (30.4%) and 96 (69.6%) patients, respectively. Not being admitted to the ICU was the only factor associated with non-albicans candidemia (p = 0.018). Sixty patients (43.5%) had favorable outcomes. Factors independently associated with unfavorable outcomes included patients who were in the ICU (p = 0.025), were intubated (p < 0.001) or were on hemodialysis (p = 0.031); prior abdominal surgery was associated with a favorable outcome (p = 0.026). Candidemia is not a rare condition at this hospital. Early recognition and prompt empirical treatment are essential to improve outcomes of patients at risk for developing candidemia. Improvement of surveillance is crucial to recognizing emergence of highly resistant strains of Candida spp. 2014-08-30T02:25:41Z 2014-08-30T02:25:41Z 2011 Journal Article 0125-1562 22299422 http://www.ncbi.nlm.nih.gov/pubmed/3502482 http://cmuir.cmu.ac.th/handle/6653943832/3040 eng
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description A retrospective study was conducted between July 1, 2004 and June 30, 2009 at Chiang Mai University Hospital among 138 patients with candidemia; 85 patients (61.6%) were male and the mean age was 57.7 +/- 19.4 years. Seventy-eight patients (56.5%) had underlying medical conditions. Candida albicans and non-albicans Candida were identified in 42 (30.4%) and 96 (69.6%) patients, respectively. Not being admitted to the ICU was the only factor associated with non-albicans candidemia (p = 0.018). Sixty patients (43.5%) had favorable outcomes. Factors independently associated with unfavorable outcomes included patients who were in the ICU (p = 0.025), were intubated (p < 0.001) or were on hemodialysis (p = 0.031); prior abdominal surgery was associated with a favorable outcome (p = 0.026). Candidemia is not a rare condition at this hospital. Early recognition and prompt empirical treatment are essential to improve outcomes of patients at risk for developing candidemia. Improvement of surveillance is crucial to recognizing emergence of highly resistant strains of Candida spp.
format Article
author Chaiwarith R.
Ounbang P.
Khamwan C.
Nuntachit N.
Sirisanthana T.
Supparatpinyo K.
spellingShingle Chaiwarith R.
Ounbang P.
Khamwan C.
Nuntachit N.
Sirisanthana T.
Supparatpinyo K.
Epidemiology of adult candidemia at Chiang Mai University Hospital
author_facet Chaiwarith R.
Ounbang P.
Khamwan C.
Nuntachit N.
Sirisanthana T.
Supparatpinyo K.
author_sort Chaiwarith R.
title Epidemiology of adult candidemia at Chiang Mai University Hospital
title_short Epidemiology of adult candidemia at Chiang Mai University Hospital
title_full Epidemiology of adult candidemia at Chiang Mai University Hospital
title_fullStr Epidemiology of adult candidemia at Chiang Mai University Hospital
title_full_unstemmed Epidemiology of adult candidemia at Chiang Mai University Hospital
title_sort epidemiology of adult candidemia at chiang mai university hospital
publishDate 2014
url http://www.ncbi.nlm.nih.gov/pubmed/3502482
http://cmuir.cmu.ac.th/handle/6653943832/3040
_version_ 1681419973307662336