Epidemiology of Candidemia in Latin America: A Laboratory-Based Survey.
| dc.career | Medicina | es |
| dc.category.author | auxiliary | en_US |
| dc.contributor.author | Zurita Salinas, LucĂa Jeannete | |
| dc.contributor.corresponding | Nucci, Marcio | |
| dc.country | Ecuador | es |
| dc.date.accessioned | 2023-11-04T21:36:04Z | |
| dc.date.available | 2023-11-04T21:36:04Z | |
| dc.date.issued | 2013 | |
| dc.dedication.author | TP | es |
| dc.description.abstract | Background: The epidemiology of candidemia varies depending on the geographic region. Little is known about the epidemiology of candidemia in Latin America. Methods: We conducted a 24-month laboratory-based survey of candidemia in 20 centers of seven Latin American countries. Incidence rates were calculated and the epidemiology of candidemia was characterized. Results: Among 672 episodes of candidemia, 297 (44.2%) occurred in children (23.7% younger than 1 year), 36.2% in adults between 19 and 60 years old and 19.6% in elderly patients. The overall incidence was 1.18 cases per 1,000 admissions, and varied across countries, with the highest incidence in Colombia and the lowest in Chile. Candida albicans (37.6%), C. parapsilosis (26.5%) and C. tropicalis (17.6%) were the leading agents, with great variability in species distribution in the different countries. Most isolates were highly susceptible to fluconazole, voriconazole, amphotericin B and anidulafungin. Fluconazole was the most frequent agent used as primary treatment (65.8%), and the overall 30-day survival was 59.3%. Conclusions: This first large epidemiologic study of candidemia in Latin America showed a high incidence of candidemia, high percentage of children, typical species distribution, with C. albicans, C. parapsilosis and C. tropicalis accounting for the majority of episodes, and low resistance rates. | en_US |
| dc.faculty | Medicina | es |
| dc.id.author | 1703079119 | |
| dc.id.type | 1 | |
| dc.identifier.doi | 10.1371/journal.pone.0059373 | |
| dc.identifier.issn | 19326203 | |
| dc.identifier.uri | https://repositorio.puce.edu.ec/handle/123456789/5485 | |
| dc.identifier.uri | http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0059373 | |
| dc.indexed.database | Other | es |
| dc.language.iso | en | |
| dc.list.authors | Nucci, M., Queiroz, F., Alvarado, T., Tiraboschi, I.N., Cortes, J., Zurita, J., Guzman, M., Santolaya, M.E., Thompson, L., Sifuentes, J., Echevarria, J. | |
| dc.magazine.pageRange | 1-7 | |
| dc.magazine.title | PLoS ONE | en_US |
| dc.magazine.volumeChapter | 8 (3) | |
| dc.rights | ClosedAccess | en |
| dc.state | published | en_US |
| dc.title | Epidemiology of Candidemia in Latin America: A Laboratory-Based Survey. | en_US |
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