medigraphic.com
SPANISH

Medicentro

ISSN 1029-3043 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 3

<< Back Next >>

Medicentro 2019; 23 (3)

Invasive candidiasis in hospitalized pediatric patients

García GD, Abreu DR, Truffín TEG, Mollineda LL, González LY, López PM
Full text How to cite this article

Language: Spanish
References: 20
Page: 225-237
PDF size: 351.32 Kb.


Key words:

candidiasis invasive, hospitals pediatric.

ABSTRACT

Introduction: candidiasis is a fungal infection caused mainly by non-albicans Candida species that usually appears on the skin or mucous membranes of patients.
Objective: to characterize the incidence of Candida species with the highest number of isolates in hospitalized pediatric patients, at Mariana Grajales Hospital (Neonatology Service) and José Luis Miranda Hospital, in the period 2013 - 2018, in Villa Clara.
Methods: descriptive and cross-sectional study with 50 Candida genus isolates in blood cultures of patients hospitalized at Mariana Grajales Hospital (Neonatology Service) and José Luis Miranda Hospital (Intensive Care Service), Villa Clara, from January 2013 to September 2018. Descriptive and inferential statistics using Pearson's chi-squared test (χ2) or Fisher's exact test to the variables: year of study, type of hospital, type of service and isolated Candida species.
Results: the largest isolates of invasive candidiasis corresponded to the Intensive Therapy service from the pediatric hospital in 2018 (only with statistical significance). In this same hospital, the Candida spp group obtained the highest index, followed by Candida tropicalis, without statistical significance. The largest number of isolates corresponded to Candida spp in the Neonatology service, followed by Candida guillermondii, both without statistical significance.
Conclusions: the Intensive Therapy service was the one with the highest number of cases of invasive candidiasis and the year 2018 was the most representative. The group of Candida spp was the most isolated species in both hospitals.


REFERENCES

  1. Cornistein W, Mora A, Orellana N, Capparelli FJ, del Castillo M. Candida: epidemiología y factores de riesgo para especies no albicans. Enferm Infecc Microbiol Clín [internet]. jun.-jul. 2013 [citado 1 nov. 2018];31(6):[aprox. 5 p.]. Disponible en: http://www.elsevier.es/es-revista-enfermedades-infecciosas-microbiologia-clinica-28-articulo-candida-epidemiologia-factores-riesgo-especies-S0213005X12003229

  2. Pappas P, Kauffman C, Andes D. Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of America. Clin Infect Dis. 2016;62:e1-50.

  3. García-Vidal C, Carratalá J. Patogenia de la infección fúngica invasora. Enferm Infecc Microbiol Clín [internet]. mar. 2012 [citado 1 nov. 2018];30(3):[aprox. 8 p.]. Disponible en: http://www.elsevier.es/pt-revista-enfermedades-infecciosas-microbiologia-clinica-28-articulo-patogenia-infeccion-fungica-invasora-S0213005X11003120

  4. Cleveland AA, Farley MM, Harrison LH, Stein B, Hollick R, Lockhart SR, et al. Changes in incidence and antifungal drug resistance in candidemia: results from population-based laboratory surveillance in Atlanta and Baltimore, 2008-2011. Clin Infect Dis. 2012 Nov. 15;55(10):1352-61.

  5. Larru B, Gong W, Vendetti N, Sullivan KV, Localio R, Zaoutis TE, et al. Bloodstream Infections in Hospitalized Children: Epidemiology and Antimicrobial Susceptibilities. Pediatr Infect Dis J. 2016 May;35(5):507-10.

  6. Mejías-Martín T, Pupo-Rodríguez H, Tamayo-Ortiz AN, de Armas-Guerra D. Infección sistémica nosocomial por especies del género Candida en una Unidad de Cuidados Intensivos Neonatales. Ciencias Holguín [internet]. abr.-jun. 2013 [citado 1 nov. 2018];19(2):[aprox. 12 p.]. Disponible en: http://www.ciencias.holguin.cu/index.php/cienciasholguin/article/view/763/745

  7. Bonifaz A. Micología médica básica. 4.a ed. México: McGraw-Hill; 2012.

  8. Roig Álvarez T, Perurena Lancha M, Martínez Machín G, Barrios Rentería Y, Hechavarría Calderín CE, Santurio Gil A. Candidiasis invasiva en una Unidad de Cuidados Intensivos Neonatales de La Habana. Rev Cubana Pediatr [internet]. 2017 [citado 1 nov. 2018];89(3):[aprox. 12 p.]. Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/397/147

  9. Santolaya ME, Alvarado Matute T, de Queiroz Telles F, López Colombo A, Zurita J, Tiraboschi IN. Recomendaciones para el manejo de la candidemia en neonatos en América Latina. Rev Iberoam Micol. 2013;30(S1):135-216.

  10. Alfonso Bibianes K, Rodríguez Swaby E, Duthil López S. Aspectos clínicos y epidemiológicos en pacientes con infección neonatal. MEDISAN. 2016;20(8):1084.

  11. Franco-Curiel DL, De La Fuente I, Ribacoba L, Fernández Rodríguez M, Guridi A, Sevillano E, et al. Estudio comparativo de la candidiasis invasiva en México y España [internet]. México: Universidad de Guadalajara; 2018 [citado 20 nov. 2018]. Disponible en: https://sciforum.net/manuscripts/4596/slides.pdf

  12. Rosanova MT, Brizuela M, Carnovale S, Caracciolo B, Caravallo N, Gómez S, et al. Candidemia en un hospital pediátrico de alta complejidad. Med Infantil [internet]. mar. 2018 [citado 1 nov. 2018];XXV(1):[aprox. 5 p.]. Disponible en: http://www.medicinainfantil.org.ar/images/stories/volumen/2018/xxv_1_017.pdf

  13. Zaoutis TE, Prasad PA, Localio AR, Coffin SE, Bell LM, Walsh TJ, et al. Risk factors and predictors for candidemia in pediatric intensive care unit patients: implications for prevention. Clin Infect Dis. 2010 Sep. 1;51(5):e38-45.

  14. Figueras Nadal C, Díaz de Heredia Rubio C, Navarro Gómez ML, Roselló Mayans E, Álvez González F. Infección fúngica invasiva (IFI): Actualización. En: Protocolos diagnóstico terapéuticos de la AEP: Infectología pediátrica [internet]. España: AEP; 2010 [citado 1 nov. 2018]. Disponible en: https://www.aeped.es/sites/default/files/documentos/ifi.pdf

  15. Tsai M, Wang S, Hsu F. Clinical and molecular characteristics of bloodstream infections caused by Candida albicans in children from 2003 to 2011. Clin Microbiol Infect. 2015 Nov.;21(11):1018.e1-1018.e8.

  16. Decia M, Telechea H, Fernández N, Menchaca A. Incidencia y etiología de la candidiasis invasiva en la Unidad de Cuidados Intensivos de Niños del Centro Hospitalario Pereira Rossell. Arch Pediatr Urug [internet]. abr. 2017 [citado 1 nov. 2018];88(2):[aprox. 6 p.]. Disponible en: http://www.scielo.edu.uy/scielo.php?pid=S1688-12492017000200002&script=sci_arttext

  17. Valle T-Figueras JM, Pujol Jover M, Frick MA, Mendoza Palomar N, Martín Gómez MT, Fernández Polo A, et al. Candidèmia I altres formes de candidiasi invasiva a Pediatria [internet]. España: Hospital Universitari Vall d'Hebron; sep. 2018 [citado 1 nov. 2018]. Disponible en: http://www.upiip.com/sites/upiip.com/files/Protocol_sospita_candida_0.pdf

  18. Izquierdo G, Santolaya ME. Invasive candidiasis in newborns: diagnosis, treatment and prophylaxis. Rev Chilena Infectol. 2014;31(1):73-83.

  19. Martí Carrizosa M, Sánchez Reus F, March F, Coll P. Fungemia in a Spanish hospital: the role of Candida parapsilosis over a 15-year period. Scand J Infect Dis. 2014;46(6):454-61.

  20. Fraga Bermúdez JM, Fernández Lorenzo JR, Reparaz Vidal R, Fidalgo Álvarez I, Alvaro Iglesias E, Aragón García MP, et al. Candidiasis invasiva en el periodo neonatal [internet]. España: Grupo de Hospitales Castrillo; 2000 [citado 1 nov. 2018]. Disponible en: https://www.seneo.es/Portals/0/candidiasis.pdf




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Medicentro. 2019;23