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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004203naa a2200805 4500
001oai:prod.swepub.kib.ki.se:152940344
003SwePub
008240701s2023 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1529403442 URI
024a https://doi.org/10.1093/mmy/myad0102 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Cook, A4 aut
2451 0a Neonatal invasive candidiasis in low- and middle-income countries: Data from the NeoOBS study
264 c 2023-03-06
264 1b Oxford University Press (OUP),c 2023
520 a Neonatal invasive candidiasis (NIC) has significant morbidity and mortality. Reports have shown a different profile of those neonates affected with NIC and of fluconazole-resistant Candida spp. isolates in low- and middle-income countries (LMICs) compared to high-income countries (HICs). We describe the epidemiology, Candida spp. distribution, treatment, and outcomes of neonates with NIC from LMICs enrolled in a global, prospective, longitudinal, observational cohort study (NeoOBS) of hospitalized infants <60 days postnatal age with sepsis (August 2018–February 2021). A total of 127 neonates from 14 hospitals in 8 countries with Candida spp. isolated from blood culture were included. Median gestational age of affected neonates was 30 weeks (IQR: 28–34), and median birth weight was 1270 gr (interquartile range [IQR]: 990–1692). Only a minority had high-risk criteria, such as being born <28 weeks, 19% (24/127), or birth weight <1000 gr, 27% (34/127). The most common Candida species were C. albicans (n = 45, 35%), C. parapsilosis (n = 38, 30%), and Candida auris (n = 18, 14%). The majority of C. albicans isolates were fluconazole susceptible, whereas 59% of C. parapsilosis isolates were fluconazole-resistant. Amphotericin B was the most common antifungal used [74% (78/105)], followed by fluconazole [22% (23/105)]. Death by day 28 post-enrollment was 22% (28/127). To our knowledge, this is the largest multi-country cohort of NIC in LMICs. Most of the neonates would not have been considered at high risk for NIC in HICs. A substantial proportion of isolates was resistant to first choice fluconazole. Understanding the burden of NIC in LMIC is essential to guide future research and treatment guidelines.
700a Ferreras-Antolin, L4 aut
700a Adhisivam, B4 aut
700a Ballot, D4 aut
700a Berkley, JA4 aut
700a Bernaschi, P4 aut
700a Carvalheiro, CG4 aut
700a Chaikittisuk, N4 aut
700a Chen, YS4 aut
700a Chibabhai, V4 aut
700a Chitkara, S4 aut
700a Chiurchiu, S4 aut
700a Chorafa, E4 aut
700a Dien, TM4 aut
700a Dramowski, A4 aut
700a de Matos, SF4 aut
700a Feng, JX4 aut
700a Jarovsky, D4 aut
700a Kaur, R4 aut
700a Khamjakkaew, W4 aut
700a Laoyookhong, P4 aut
700a Machanja, E4 aut
700a Mussi-Pinhata, MM4 aut
700a Namiiro, F4 aut
700a Natraj, G4 aut
700a Naziat, H4 aut
700a Ngoc, HTB4 aut
700a Ondongo-Ezhet, C4 aut
700a Preedisripipat, K4 aut
700a Rahman, H4 aut
700a Riddell, A4 aut
700a Roilides, E4 aut
700a Russell, N4 aut
700a Sastry, AS4 aut
700a Tasimwa, HB4 aut
700a Ji, TZ4 aut
700a Wadula, J4 aut
700a Wang, YJ4 aut
700a Whitelaw, A4 aut
700a Wu, D4 aut
700a Yadav, V4 aut
700a Yang, G4 aut
700a Stohr, W4 aut
700a Bielicki, JA4 aut
700a Ellis, S4 aut
700a Warris, A4 aut
700a Heath, PT4 aut
700a Sharland, M4 aut
773t Medical mycologyd : Oxford University Press (OUP)g 61:3q 61:3x 1460-2709x 1369-3786
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:152940344
8564 8u https://doi.org/10.1093/mmy/myad010

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