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Candidaemia in polish hospitals – a multicentre survey
Authors:Urszula Nawrot  Magdalena Pajączkowska  Małgorzata Fleischer  Hanna Przondo‐Mordarska  Alfred Samet  Dorota Piasecka‐Pazik  Jolanta Komarnicka  Beata Sulik‐Tyszka  Ewa Swoboda‐Kopeć  Justyna Cieślik  Agnieszka Mikucka  Eugenia Gospodarek  Tomasz Ozorowski  Anna Mól  Elżbieta Tryniszewska  Wioletta Kłosowska  Małgorzata Krawczyk  Krzysztof Golec  Ludmiła Szymaniak  Stefania Giedrys‐Kalemba  Iwona Bilska  Jolanta Prawda‐Zołotar  Małgorzata Juszczyk‐Grudzińska  Małgorzata Wróblewska  Krzysztof Burdynowski
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.
Keywords:Fungaemia  candidaemia     Candida     epidemiology  species distribution
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