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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004684naa a2200853 4500
001oai:gup.ub.gu.se/285405
003SwePub
008240528s2008 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2854052 URI
024a https://doi.org/10.1007/s10096-008-0466-x2 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Baddley, J W4 aut
2451 0a Candida infective endocarditis.
264 c 2008-02-19
264 1b Springer Science and Business Media LLC,c 2008
520 a Candida infective endocarditis (IE) is uncommon but often fatal. Most epidemiologic data are derived from small case series or case reports. This study was conducted to explore the epidemiology, treatment patterns, and outcomes of patients with Candida IE. We compared 33 Candida IE cases to 2,716 patients with non-fungal IE in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS). Patients were enrolled and the data collected from June 2000 until August 2005. We noted that patients with Candida IE were more likely to have prosthetic valves (p < 0.001), short-term indwelling catheters (p < 0.0001), and have healthcare-associated infections (p < 0.001). The reasons for surgery differed between the two groups: myocardial abscess (46.7% vs. 22.2%, p = 0.026) and persistent positive blood cultures (33.3% vs. 9.9%, p = 0.003) were more common among those with Candida IE. Mortality at discharge was higher in patients with Candida IE (30.3%) when compared to non-fungal cases (17%, p = 0.046). Among Candida patients, mortality was similar in patients who received combination surgical and antifungal therapy versus antifungal therapy alone (33.3% vs. 27.8%, p = 0.26). New antifungal drugs, particularly echinocandins, were used frequently. These multi-center data suggest distinct epidemiologic features of Candida IE when compared to non-fungal cases. Indications for surgical intervention are different and mortality is increased. Newer antifungal treatment options are increasingly used. Large, multi-center studies are needed to help better define Candida IE.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Infektionsmedicin0 (SwePub)302092 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Infectious Medicine0 (SwePub)302092 hsv//eng
653 a Adult
653 a Aged
653 a Antifungal Agents
653 a therapeutic use
653 a Candida
653 a isolation & purification
653 a Candidiasis
653 a drug therapy
653 a epidemiology
653 a microbiology
653 a mortality
653 a Catheters
653 a Indwelling
653 a Cross Infection
653 a Endocarditis
653 a drug therapy
653 a epidemiology
653 a microbiology
653 a mortality
653 a Female
653 a Humans
653 a Male
653 a Middle Aged
653 a Prostheses and Implants
653 a Risk Factors
700a Benjamin, D K4 aut
700a Patel, M4 aut
700a Miró, J4 aut
700a Athan, E4 aut
700a Barsic, B4 aut
700a Bouza, E4 aut
700a Clara, L4 aut
700a Elliott, T4 aut
700a Kanafani, Z4 aut
700a Klein, J4 aut
700a Lerakis, S4 aut
700a Levine, D4 aut
700a Spelman, D4 aut
700a Rubinstein, E4 aut
700a Tornos, P4 aut
700a Morris, A J4 aut
700a Pappas, P4 aut
700a Fowler, V G4 aut
700a Chu, V H4 aut
700a Cabell, C4 aut
700a Olaison, Lars,d 1949u Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine4 aut0 (Swepub:gu)xolala
710a Göteborgs universitetb Institutionen för biomedicin, avdelningen för infektionssjukdomar4 org
773t European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiologyd : Springer Science and Business Media LLCg 27:7, s. 519-29q 27:7<519-29x 0934-9723
773t European Journal of Clinical Microbiology & Infectious Diseasesd : Springer Science and Business Media LLCg 27:7, s. 519-29q 27:7<519-29x 1435-4373
856u https://europepmc.org/articles/pmc2757733?pdf=render
8564 8u https://gup.ub.gu.se/publication/285405
8564 8u https://doi.org/10.1007/s10096-008-0466-x

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