Risk factors associated with mortality among patients who had candidemia in a university hospital

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Priscila Guerino Vilela Alves, Sávia Gonçalves Oliveira Melo, Meliza Arantes de Souza Bessa, Murilo de Oliveira Brito, Ralciane de Paula Menezes, Lúcio Borges de Araújo, Mário Paulo Amante Penatti, Reginaldo dos Santos Pedroso, Denise Von Dolinger de Brito Röder
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2020
• Subjects: Candidemia; Risk factors; Mortality; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/0037-8682-0206-2019; https://doaj.org/article/f456f91f377a43e6b97a1aa2d37df359

Abstract INTRODUCTION: Bloodstream infection due to Candida spp. is a primary cause of morbidity and mortality in tertiary hospitals. METHODS: In this retrospective study, we included patients with a positive blood culture for Candida spp. after 48 h of hospitalization. RESULTS A total of 335 patients who had candidemia were included in this study. Risk factors associated with mortality were hospitalization in internal medicine units and surgical clinics, age >60 years, mechanical ventilation, orotracheal intubation, hemodialysis, corticosteroids use, and C. parapsilosis infection. CONCLUSIONS: This study highlights the importance of health care related to invasive procedures and actions to improve patient immunity.