Candida colonization and systemic infection in neutropenic patients. A retrospective study

作者: Pietro Martino , Corrado Girmenia , Mario Venditti , Alessandra Micozzi , Stefania Santilli

DOI: 10.1002/1097-0142(19891115)64:10<2030::AID-CNCR2820641011>3.0.CO;2-2

关键词: SurgeryComplicationColonizationMycosisMedicineSystemic candidiasisInternal medicineAmphotericin BAntibioticsNeutropeniaRetrospective cohort studyCancer researchOncology

摘要: The results of surveillance cultures in 424 neutropenic patients with hematologic malignancies were analyzed to evaluate the relationship between colonization and infection by Candida species. Eighteen (32%) 56 multiple noncontiguous colonized sites developed proven (13 cases) or probable (five systemic candidiasis, versus two candidiasis (1.2%) 170 one site (P less than 0.00000001), patient (0.5%) 198 without any evidence 0.00000001). Twenty-two who a febrile episode resistant antibiotics treated empiric amphotericin B. Nine 11 given B within day 6 survived three receiving antifungal therapy after = 0.014). above data seem justify further prospective studies on as indication early patients.

参考文章(13)
Michael W. Degregorio, William M.F. Lee, Charles A. Linker, Richard A. Jacobs, Curt A. Ries, Fungal infections in patients with acute leukemia. The American Journal of Medicine. ,vol. 73, pp. 543- 548 ,(1982) , 10.1016/0002-9343(82)90334-5
G. R. Sandford, W. G. Merz, J. R. Wingard, P. Charache, R. Saral, The Value of Fungal Surveillance Cultures as Predictors of Systemic Fungal Infections The Journal of Infectious Diseases. ,vol. 142, pp. 503- 509 ,(1980) , 10.1093/INFDIS/142.4.503
Gerald P. Bodey, Fungal infections complicating acute leukemia. Journal of Chronic Diseases. ,vol. 19, pp. 667- 687 ,(1966) , 10.1016/0021-9681(66)90066-X
Bruce L. Brown, Jian H. Johnson, Martha S. Hearron, Double-blind comparison of flurbiprofen and sulindac for the treatment of osteoarthritis. The American Journal of Medicine. ,vol. 80, pp. 112- 117 ,(1986) , 10.1016/0002-9343(86)90126-9
Eliane Haron, Ronald Feld, Peter Tuffnell, Bruce Patterson, Richard Hasselback, Anne Matlow, Hepatic candidiasis: an increasing problem in immunocompromised patients. The American Journal of Medicine. ,vol. 83, pp. 17- 26 ,(1987) , 10.1016/0002-9343(87)90492-X
Philip A. Pizzo, James Commers, Deborah Cotton, Janet Gress, James Hathorn, John Hiemenz, Dan Longo, Doris Marshall, K.J. Robichaud, Approaching the controversies in antibacterial management of cancer patients The American Journal of Medicine. ,vol. 76, pp. 436- 449 ,(1984) , 10.1016/0002-9343(84)90663-6
Barnett S. Kramer, Philip A. Pizzo, Kathleen J. Robichaud, Frank Witesbsky, Robert Wesley, Role of serial microbiologic surveillance and clinical evaluation in the management of cancer patients with fever and granulocytopenia The American Journal of Medicine. ,vol. 72, pp. 561- 568 ,(1982) , 10.1016/0002-9343(82)90449-1
F. Meunier, Prevention of Mycoses in Immunocompromised Patients Clinical Infectious Diseases. ,vol. 9, pp. 408- 416 ,(1987) , 10.1093/CLINIDS/9.2.408
Charles A. Linker, Michael W. Degregorio, Curt A. Ries, Computerized tomography in the diagnosis of systemic candidiasis in patients with acute leukemia Medical and Pediatric Oncology. ,vol. 12, pp. 380- 385 ,(1984) , 10.1002/MPO.2950120605