Invasive candidiasis: Risk factor for mortality in a pediatric tertiary care hospital in south of Brazil
| Autor: | Fabio de Araujo Motta, Luiza Souza Rodrigues, Thaís Muniz Vasconcelos, Marinei Campos Riccieri, Gledson Luiz Picharski, Libera Maria Dalla-Costa |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Observational Study Context (language use) Disease intensive care unit law.invention Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine law Risk Factors Internal medicine Medicine Humans Candidiasis Invasive 030212 general & internal medicine Hospital Mortality Risk factor Child Dialysis Candida Retrospective Studies business.industry Mortality rate Incidence (epidemiology) Incidence Infant Newborn Infant General Medicine invasive candidiasis Intensive care unit mortality Cross-Sectional Studies pediatric 030220 oncology & carcinogenesis Biofilms Child Preschool Observational study Female business Brazil Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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