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dc.contributor.CRUESPUNIVERSIDADE DE ESTADUAL DE CAMPINASpt_BR
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
unicamp.author.externalNucci, 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
unicamp.author.externalColombo, A.L., Department of Medicine, Esc. Paulista de Medicina - UNIFESP, São Paulo, Brazilpt
unicamp.author.externalSilveira, F., Hospital Universitário, Univ. Federal do Rio de Janeiro, Rio de Janeiro, Brazilpt
unicamp.author.externalRichtmann, R., Division of Infectious Diseases, Hosp. do Srevidor Publico Estadual, São Paulo, Brazilpt
unicamp.author.externalSalomão, R., Department of Medicine, Esc. Paulista de Medicina - UNIFESP, São Paulo, Brazil, Division of Infectious Diseases, Casa Saude Maternidade S. Marcelina, São Paulo, Brazilpt
unicamp.author.externalSpector, 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.date.issued1998pt_BR
dc.identifier.citationInfection Control And Hospital Epidemiology. , v. 19, n. 11, p. 846 - 850, 1998.pt_BR
dc.language.isoenpt_BR
dc.description.volume19pt_BR
dc.description.issuenumber11pt_BR
dc.description.firstpage846pt_BR
dc.description.lastpage850pt_BR
dc.rightsfechadopt_BR
dc.sourceScopuspt_BR
dc.identifier.issn0899823Xpt_BR
dc.identifier.urlhttp://www.scopus.com/inward/record.url?eid=2-s2.0-0032199099&partnerID=40&md5=aa6c591cd834b51d5e6a99f73160dfaapt_BR
dc.date.available2015-06-30T15:07:28Z
dc.date.available2015-11-26T15:20:22Z-
dc.date.accessioned2015-06-30T15:07:28Z
dc.date.accessioned2015-11-26T15:20:22Z-
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
dc.identifier.urihttp://www.repositorio.unicamp.br/handle/REPOSIP/100744
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/100744-
dc.identifier.idScopus2-s2.0-0032199099pt_BR
dc.description.referenceBodey, G.P., The emergence of fungi as major hospital pathogens (1988) J Hosp Infect, 11, pp. 411-426pt_BR
dc.description.referenceBeck-Sagué, C.M., Jarvis, W.R., Secular trends in the epidemiology of nosocomial fungal infections in the United States, 1980-1990 (1993) J Infect Dis, 167, pp. 1247-1251pt_BR
dc.description.referenceBanerjee, S.N., Emori, T.G., Culver, D.H., Gaynes, R.P., Jarvis, W.R., Horan, T., Secular trends in nosocomial primary bloodstream infections in the United States, 1980-1989 (1991) Am J Med, 91 (SUPPL. 3B), pp. 86-89pt_BR
dc.description.referenceBross, J., Talbot, G.H., Maislin, G., Hurwitz, S., Strom, B.L., Risk factors for nosocomial candidemia: A case-control study in adults without leukemia (1989) Am J Med, 87, pp. 614-620pt_BR
dc.description.referencePfaller, M., Wenzel, R., Impact of the changing epidemiology of fungal infections in the 1990s (1992) Eur J Clin Microbiol Infect Dis, 11, pp. 287-291pt_BR
dc.description.referenceWey, S.B., Mori, M., Pfaller, M.A., Woolson, R.F., Wenzel, R.P., Hospital-acquired candidemia: The attributable mortality and excess length of stay (1988) Arch Intern Med, 148, pp. 2642-2645pt_BR
dc.description.referencePittet, D., Li, N., Woolson, R.F., Wenzel, R.P., Microbiological factors influencing the outcome of nosocomial bloodstream infections: A 6-year validated, population-based model (1997) Clin Infect Dis, 24, pp. 1068-1078pt_BR
dc.description.referenceKarnofsky, D.A., Burchenot, J.H., The clinical evaluation of chemotherapeutic agents in cancer (1949) Evaluation of Chemotherapeutic Agents, pp. 191-205. , MacLead CM, ed. New York, NY: New York Columbia University Presspt_BR
dc.description.referenceWenzel, R.P., Nosocomial candidemia: Risk factors and attributable mortality (1995) Clin Infect Dis, 20, pp. 1531-1534pt_BR
dc.description.referenceMiller, P.J., Wenzel, R.P., Etiologic organisms as independent predictors of death and mortality associated with bloodstream infections (1987) J Infect Dis, 156, pp. 471-477pt_BR
dc.description.referenceNguyen, M.H., Peacock, J.E., Tanner, D.C., Morris, A.J., Nguyen, M.L., Syndman, D.R., Therapeutic approaches in patients with candidemia (1995) Arch Intern Med, 155, pp. 2429-2435pt_BR
dc.description.referenceFraser, J.F., Jones, M., Dunkel, J., Storfer, S., Medoff, G., Dunagan, W.C., Candidemia in tertiary care hospital. Epidemiology, risk factors, and predictors of mortality (1992) Clin Infect Dis, 15, pp. 414-421pt_BR
dc.description.referenceMeuníer-Carpentíer, F., Kiehn, T.E., Armstrong, D., Fungemia in the immunocompromised host Changing patterns, antigenemia, high mortality (1981) Am J Med, 71, pp. 363-370pt_BR
dc.description.referenceMartino, P., Girmenia, C., Micozzi, A., Raccah, R., Gentile, G., Venditi, M., Fungemia in patients with leukemia (1993) Am J Med Sci, 306, pp. 225-232pt_BR
dc.description.referenceWeems Jr., J.J., Candida parapsilosis: Epidemiology, pathogenicity, clinical manifestations, and antimicrobial susceptibility (1992) Clin Infect Dis, 14, pp. 756-766pt_BR
dc.description.referenceEdwards, J.E., Bodey, G.P., Bowden, R.A., Büchner, T., De Pauw, B.E., Filler, S.G., International conference for the development of a consensus on the management and prevention of severe candidal infections (1997) Clin Infect Dis, 25, pp. 43-59pt_BR
dc.description.referenceAnaissie, E., Opportunistic mycoses in the immunocompromised host: Experience at a cancer center and review (1992) Clin Infect Dis, 14 (1 SUPPL.), pp. S43-S53pt_BR
dc.description.referenceEppes, S.C., Troutman, J.L., Gutman, L.T., Outcome of treatment of candidemia in children whose central catheters were removed or retained (1989) Pediatr Infect Dis J, 8, pp. 99-104pt_BR
dc.description.referenceDato, V.M., Dajani, A.S., Candidemia in children with central venous catheters: Role of catheter removal and amphotericin B therapy (1990) Pediatr Infect Dis J, 9, pp. 309-314pt_BR
dc.description.referenceLecciones, J.A., Lee, J.W., Navarro, E.E., Witebsky, F.G., Marshall, D., Steinberg, S.M., Vascular catheter-associated fungemia in patients with cancer: Analysis of 155 episodes (1992) Clin Infect Dis, 14, pp. 875-883pt_BR
dc.description.referenceNucci, M., Silveira, M.I., Velasco, E., Perecmanis, T., Martins, C.A., Spector, N., Risk factors for death in cancer patients with fungemia (1998) Clin Infect Dis, 27, pp. 107-111pt_BR
dc.description.referenceBranchini, M.L., Pfaller, M.A., Rhine-Chalberg, J., Frempong, T., Isenberg, H.D., Genotypic variation and slime production among blood and catheter isolates of Candida parapsilosis (1994) J Clin Microbiol, 32, pp. 452-456pt_BR
dc.description.referenceUzun, O., Anaissie, E.J., Problems and controversies in the management of hematogenous candidiasis (1996) Clin Infect Dis, 22 (2 SUPPL.), pp. S95-S101pt_BR
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