Results From a Prospective, International, Epidemiologic Study of Invasive Candidiasis in Children and Neonates

作者: William J. Steinbach , Emmanuel Roilides , David Berman , Jill A. Hoffman , Andreas H. Groll

DOI: 10.1097/INF.0B013E3182737427

关键词:

摘要: BACKGROUND:: Candida species are the third most common cause of pediatric healthcareassociated bloodstream infection in United States and Europe. To our knowledge, this report from International Pediatric Fungal Network is largest prospective, multi-center observational study dedicated to neonatal invasive candidiasis. METHODS:: From 2007-2011, we enrolled 196 25 patients with RESULTS:: Non-albicans predominated (56%) (52%) age groups, yet C. albicans was both groups. Successful treatment responses were observed (76%) (92%). Infection parapsilosis led successful (92%) (100%) patients, while glabrata associated a lower outcome (55%). The commonly used primary antifungal therapies for candidiasis fluconazole (21%), liposomal amphotericin B (20%), micafungin (18%). Outcome similar response polyenes (73%), triazoles (67%) echinocandins (73%). (32%), caspofungin (24%), (16%) (8%). Outcomes by class again revealed rates amongst classes. CONCLUSIONS:: We found predominance non-albicans children outcomes based on used. This international collaborative sets foundation large epidemiologic studies focusing unique features comparative therapeutic interventions these populations.

参考文章(27)
Thomas J Walsh, Patricia Whitcomb, Stephen Piscitelli, William D Figg, Suvimol Hill, Stephen J Chanock, Paul Jarosinski, Renu Gupta, Philip A Pizzo, Safety, tolerance, and pharmacokinetics of amphotericin B lipid complex in children with hepatosplenic candidiasis. Antimicrobial Agents and Chemotherapy. ,vol. 41, pp. 1944- 1948 ,(1997) , 10.1128/AAC.41.9.1944
VLADIMIR KRCMERY, PAVOL KOREN, LUBICA PEVALOVA, MÁRIA PISARCuÍKOVÁ, KAROL KRALINSKY, SVATOZAR DLUHOLUCKY, JOZEF FILKA, JURAJ HANZEN, DÁŠA SEJNOVÁ, ANNA LIŠKOVÁ, LADISLAV LAHO, ZUZANA SZOVENYOVÁ, ADRIANA ONDRUSOVA, MÁRIA HUTTOVA, ANNA PURGELOVÁ, Aetiology, antifungal susceptibility, risk factors and outcome in 201 fungaemic children: data from a 12-year prospective national study from Slovakia. Journal of Medical Microbiology. ,vol. 51, pp. 110- 116 ,(2002) , 10.1099/0022-1317-51-2-110
Emmanuel Roilides, Isaac Kadiltsoglou, Dimitrios Zahides, Evangelia Bibashi, Invasive candidosis in pediatric patients. Clinical Microbiology and Infection. ,vol. 3, pp. 192- 197 ,(1997) , 10.1111/J.1469-0691.1997.TB00597.X
A. Tragiannidis, W. Fegeler, G. Rellensmann, V. Debus, V. Müller, I. Hoernig-Franz, K. Siam, Z.-D. Pana, H. Jürgens, A.H. Groll, Candidaemia in a European Paediatric University Hospital: a 10-year observational study Clinical Microbiology and Infection. ,vol. 18, ,(2012) , 10.1111/J.1469-0691.2011.03720.X
Daniel K Benjamin Jr, Barbara J Stoll, Avory A Fanaroff, Scott A McDonald, William Oh, Rosemary D Higgins, Shahnaz Duara, Kenneth Poole, Abbot Laptook, Ronald Goldberg, National Institute of Child Health and Human Development Neonatal Research Network, None, Neonatal Candidiasis Among Extremely Low Birth Weight Infants: Risk Factors, Mortality Rates, and Neurodevelopmental Outcomes at 18 to 22 Months Pediatrics. ,vol. 117, pp. 84- 92 ,(2006) , 10.1542/PEDS.2004-2292
T. E. Zaoutis, H. S. Jafri, L.-M. Huang, F. Locatelli, A. Barzilai, W. Ebell, W. J. Steinbach, J. Bradley, J. M. Lieberman, C.-C. Hsiao, N. Seibel, H.-J. Laws, M. Gamba, M. Petrecz, A. F. Taylor, K. M. Strohmaier, J. W. Chow, N. A. Kartsonis, A. L. Ngai, A Prospective, Multicenter Study of Caspofungin for the Treatment of Documented Candida or Aspergillus Infections in Pediatric Patients Pediatrics. ,vol. 123, pp. 877- 884 ,(2009) , 10.1542/PEDS.2008-1158
Priya A. Prasad, Susan E. Coffin, Kateri H. Leckerman, Thomas J. Walsh, Theoklis E. Zaoutis, Pediatric antifungal utilization: new drugs, new trends. Pediatric Infectious Disease Journal. ,vol. 27, pp. 1083- 1088 ,(2008) , 10.1097/INF.0B013E31817EEEE5
HILMAR WISPLINGHOFF, HARALD SEIFERT, SANDRA M. TALLENT, TAMMY BISCHOFF, RICHARD P. WENZEL, MICHAEL B. EDMOND, Nosocomial bloodstream infections in pediatric patients in United States hospitals: epidemiology, clinical features and susceptibilities. Pediatric Infectious Disease Journal. ,vol. 22, pp. 686- 691 ,(2003) , 10.1097/01.INF.0000078159.53132.40
Theoklis E. Zaoutis, H. Mollie Greves, Ebbing Lautenbach, Warren B. Bilker, Susan E. Coffin, Risk factors for disseminated candidiasis in children with candidemia. Pediatric Infectious Disease Journal. ,vol. 23, pp. 635- 641 ,(2004) , 10.1097/01.INF.0000128781.77600.6F
Christopher C Blyth, Sharon CA Chen, Monica A Slavin, Carol Serena, Quoc Nguyen, Deborah Marriott, David Ellis, Wieland Meyer, Tania C Sorrell, members of the Australian Candidemia Study, None, Not just little adults: candidemia epidemiology, molecular characterization, and antifungal susceptibility in neonatal and pediatric patients. Pediatrics. ,vol. 123, pp. 1360- 1368 ,(2009) , 10.1542/PEDS.2008-2055