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dc.typeArtigo de periódicopt_BR
dc.titleRisk Factors For Death In Patients With Candidemiapt_BR
dc.contributor.authorNucci M.pt_BR
dc.contributor.authorColombo A.L.pt_BR
dc.contributor.authorSilveira F.pt_BR
dc.contributor.authorRichtmann R.pt_BR
dc.contributor.authorSalomao R.pt_BR
dc.contributor.authorBranchini M.L.pt_BR
dc.contributor.authorSpector N.pt_BR
unicamp.authorBranchini, M.L., Department of Internal Medicine, Universidade Estadual de Campinas, Campinas, Brazilpt_BR, M., Department of Internal Medicine, Univ. Federal do Rio de Janeiro, Rio de Janeiro, Brazil, Serviço de Hematologia, Hosp. Univ. Clementino Fraga Filho, Av Brigadeiro Trompovsky s/n, CEP 21941-590 Rio de Janeiro, Brazilpt, A.L., Department of Medicine, Esc. Paulista de Medicina - UNIFESP, São Paulo, Brazilpt, F., Hospital Universitário, Univ. Federal do Rio de Janeiro, Rio de Janeiro, Brazilpt, R., Division of Infectious Diseases, Hosp. do Srevidor Publico Estadual, São Paulo, Brazilptão, R., Department of Medicine, Esc. Paulista de Medicina - UNIFESP, São Paulo, Brazil, Division of Infectious Diseases, Casa Saude Maternidade S. Marcelina, São Paulo, Brazilpt, N., Department of Internal Medicine, Univ. Federal do Rio de Janeiro, Rio de Janeiro, Brazilpt
dc.description.abstractOBJECTIVE: To analyze possible risk factors for death among patients with nosocomial candidemia. To identify risk factors for death in patients with candidemia, we analyzed demographic, clinical, and microbiological data. SETTING: Six tertiary hospitals in Brazil. PATIENTS: A cohort of 145 patients with candidemia. DESIGN: 26 possible risk factors for death, including age, underlying disease, signs of deep-seated infection, neutropenia, number of positive blood cultures, removal of a central venous catheter, etiologic agent of the candidemia, susceptibility pattern of the isolate to amphotericin B, and antifungal treatment were evaluated by univariate stepwise logistic regression analysis. RESULTS: Non-albicans species accounted for 63.4% of the candidemias. Risk factors for death in univariate analysis were older age, catheter retention, poor performance status, candidemia due to species other than Candida parapsilosis, hypotension, candidemia due to species other than Candida parapsilosis, and no antifungal treatment. In multivariate analysis, older age and non-removal of a central venous catheter were the only factors associated with an increased risk for death. CONCLUSIONS: These data suggest that patients with candidemia and a central venous catheter should have the catheter removed.en
dc.relation.ispartofInfection Control and Hospital Epidemiologypt_BR
dc.identifier.citationInfection Control And Hospital Epidemiology. , v. 19, n. 11, p. 846 - 850, 1998.pt_BR
dc.description.provenanceMade available in DSpace on 2015-06-30T15:07:28Z (GMT). No. of bitstreams: 1 2-s2.0-0032199099.pdf: 1179421 bytes, checksum: a43a391c04cbabd32bb4ca20771f4cf0 (MD5) Previous issue date: 1998en
dc.description.provenanceMade available in DSpace on 2015-11-26T15:20:22Z (GMT). No. of bitstreams: 2 2-s2.0-0032199099.pdf: 1179421 bytes, checksum: a43a391c04cbabd32bb4ca20771f4cf0 (MD5) 2-s2.0-0032199099.pdf.txt: 30294 bytes, checksum: 57ddfdb3409a8021bf674761b9a6dffe (MD5) Previous issue date: 1998en
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