Affiliation: | 1. Department of Microbiology, Medical University of Wroc?aw, , Wroc?aw, Poland;2. Department of Clinical Microbiology, University Clinical Center in Gdańsk, , Gdańsk, Poland;3. Department of Medical Microbiology, Medical University of Warsaw, , Warsaw, Poland;4. Department of Microbiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, , Bydgoszcz, Poland;5. Department of Microbiology, Hospital of Poznan University of Medical Sciences, , Poznań, Poland;6. Department of Microbiological Diagnostics and Infectious Immunology, Medical University of Bialystok, , Bia?ystok, Poland;7. Department of Microbiology, Regional Hospital, Rzeszów, , Rzeszów, Poland;8. Department of Microbiology and Immunology, Pomeranian Medical University in Szczecin, , Szczecin, Poland;9. Department of Bacteriology, Hospital of Pomeranian Medical University in Szczecin, , Szczecin, Poland;10. Department of Microbiology, Regional Hospital, Ko?obrzeg, , Ko?obrzeg, Poland;11. Department of Bacteriology, Specialist Hospital in Walbrzych, , Wa?brzych, Poland;12. Microbiological Laboratory of Regional Hospital in Grudzi?dz, , Grudzi?dz, Poland;13. Department of Microbiology, Regional Medical Centre in Opole, , Opole, Poland |
Abstract: | Significant changes in the frequency of candidaemia and the distribution of causative species have been noted worldwide in the last two decades. In this study, we present the results of the first multicentre survey of fungaemia in Polish hospitals. A total of 302 candidaemia episodes in 294 patients were identified in 20 hospitals during a 2‐year period. The highest number of infections was found in intensive care (30.8%) and surgical (29.5%) units, followed by haematological (15.9%), ‘others’ (19.2%) and neonatological (4.6%) units. Candida albicans was isolated from 50.96% of episodes; its prevalence was higher in intensive care unit and neonatology (61.22% and 73.33%, respectively), and significantly lower in haematology (22%; P < 0.001). The frequency of C. krusei and C. tropicalis was significantly higher (24% and 18%) in haematology (P < 0.02); whereas, the distribution of C. glabrata (14.1%) and C. parapsilosis (13.1%) did not possess statistically significant differences between compared departments. Obtained data indicates that species distribution of Candida blood isolates in Polish hospitals reflects worldwide trends, particularly a decrease in the prevalence of infections due to C. albicans. |