Early Candida Isolations in Febrile Patients after Abdominal Surgery
| Autor: | Juha Niinikoski, Olli-Pekka Lehtonen, Rantala A |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Fever Urine Gastroenterology Postoperative Complications Internal medicine Abdomen medicine Humans Ascending colon Prospective Studies Prospective cohort study Mycosis Aged Candida Aged 80 and over General Immunology and Microbiology business.industry Candidiasis General Medicine Middle Aged Prognosis medicine.disease Surgery Infectious Diseases Parenteral nutrition medicine.anatomical_structure Female Pancreas business Fungemia Abdominal surgery |
| Zdroj: | Scandinavian Journal of Infectious Diseases. 25:479-485 |
| ISSN: | 1651-1980 0036-5548 |
| DOI: | 10.3109/00365549309008530 |
| Popis: | The significance of finding Candida sp. in febrile patients after abdominal surgery was studied in a prospective study on 107 patients. The patients were divided into 3 groups, based on the isolation and time of sampling of Candida sp. and on any other microbiological documentation of the infection. Eight patients were found Candida-positive either by blood cultures or by cultures of urine, abdominal pus, tracheal aspirate or wound exudate within the first postoperative week and had significantly greater mortality than patients with other infections or later Candida sp.-isolation (50% vs 10%, p0.05). Isolation of Candida was associated with prolonged antibiotic therapy, extended central vein catheterization, parenteral nutrition and operations on the small bowel, ascending colon or pancreas, but not with the underlying illness. The results support the view that isolation of Candida sp. within the first week after surgery does not represent harmless colonization but is rather associated with serious morbidity. |
| Databáze: | OpenAIRE |
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