Journal Article

National Epidemiology of Mycoses Survey (NEMIS): Variations in Rates of Bloodstream Infections Due to <i>Candida</i> Species in Seven Surgical Intensive Care Units and Six Neonatal Intensive Care Units

M. Sigfrido Rangel-Frausto, Todd Wiblin, Henry M. Blumberg, Lisa Saiman, Jan Patterson, Michael Rinaldi, Michael Pfaller, John E. Edwards, William Jarvis, Jeffrey Dawson and Richard P. Wenzel

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 2, pages 253-258
Published in print July 1999 | ISSN: 1058-4838
Published online July 1999 | e-ISSN: 1537-6591 | DOI: https://dx.doi.org/10.1086/520194
National Epidemiology of Mycoses Survey (NEMIS): Variations in Rates of Bloodstream Infections Due to Candida Species in Seven Surgical Intensive Care Units and Six Neonatal Intensive Care Units

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Candida species are the fourth most frequent cause of nosocomial bloodstream infections, and 25%–50% occur in critical care units. During an 18-month prospective study period, all patients admitted for ⩾72 hours to the surgical (SICUs) or neonatal intensive care units (NICUs) at each of the participant institutions were followed daily. Among 4,276 patients admitted to the seven SICUs in six centers, there were 42 nosocomial bloodstream infections due to Candida species (9.8/1,000 admissions; 0.99/1,000 patient-days). Of 2,847 babies admitted to the six NICUs, 35 acquired a nosocomial bloodstream infection due to Candida species (12.3/1,000 admissions; 0.64/1,000 patient-days). The following were the most commonly isolated Candida species causing bloodstream infections in the SICU: Candida albicans, 48%; Candida glabrata, 24%; Candida tropicalis, 19%; Candida parapsilosis, 7%; Candida species not otherwise specified, 2%. In the NICU the distribution was as follows: C. albicans, 63%; C. glabrata, 6%; C. parapsilosis, 29%; other, 3%. Of the patients, 30%–50% developed incidental stool colonization, 23% of SICU patients developed incidental urine colonization, and one-third of SICU health care workers' hands were positive for Candida species.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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