Candiduria in catheterized intensive care unit patients : Emerging microbiological trends
Autor: | Bibhabati Mishra, Vinita Dogra, Aradhana Bhargava, Manisha Jain, Poonam Sood Loomba, Archana Thakur |
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Rok vydání: | 2011 |
Předmět: |
Male
Antibiotics lcsh:QR1-502 Urine lcsh:Microbiology law.invention law Prevalence Young adult Child Candida albicans Candida Aged 80 and over biology Candidiasis General Medicine Middle Aged Intensive care unit Intensive Care Units Catheter Child Preschool Urinary Tract Infections Female Candiduria catheterized diabetics lcsh:RB1-214 Adult Microbiology (medical) medicine.medical_specialty Adolescent medicine.drug_class Urinary system Pathology and Forensic Medicine Young Adult Diabetes mellitus Internal medicine lcsh:Pathology medicine Humans Intensive care medicine Aged business.industry Candidemia Infant medicine.disease biology.organism_classification ICU patients Catheter-Related Infections Concomitant business |
Zdroj: | Indian Journal of Pathology and Microbiology, Vol 54, Iss 3, Pp 552-555 (2011) |
ISSN: | 0377-4929 |
Popis: | Objectives: Urinary tract infection (UTI) as a result of Candida spp. is becoming increasingly common in hospitalized setting. Clinicians face dilemma in differentiating colonization from true infection and whether to treat candiduria or not. The objective of the present study was to look into the significance of candiduria in catheterized patients admitted in the ICUs and perform microbiological characterization of yeasts to guide treatment protocols. Materials and Methods: One hundred consecutive isolates of Candida spp. from the urine sample of 70 catheterized patients admitted in the ICU were collected and stocked for further characterization. A proforma was maintained containing demographic and clinical details. Blood cultures were obtained from all these 70 patients and processed. Species identification of yeasts was done on VITEK. Results: Candiduria was more common at extremes of age. The mean duration of catheter days was 11.1 ± 6 days. Other associated risk factors such as diabetes mellitus and antibiotic usage were seen in 38% and 100% of our study group. Concomitant candidemia was seen in 4.3% of cases. Non-albicans Candida spp. (71.4%) emerged as the predominant pathogen causing nosocomial UTI. Conclusion: The present study reiterates the presence of candiduria in catheterized patients, especially in the presence of diabetes and antibiotic usage. Non-albicans Candida spp. are replacing Candida albicans as the predominant pathogen for nosocomial UTI. Hence, we believe that surveillance for nosocomial candiduria should be carried out in hospitalized patients. |
Databáze: | OpenAIRE |
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