Risk factors and clinical outcomes of candidaemia in patients treated for Clostridium difficile infection

被引：31

作者：

Russo, A. ^{[1
]}

Falcone, M. ^{[1
]}

Fantoni, M. ^{[2
]}

Murri, R. ^{[2
]}

Masucci, L. ^{[3
]}

Carfagna, P. ^{[4
]}

Ghezzi, M. C. ^{[1
]}

Posteraro, B. ^{[5
]}

Sanguinetti, M. ^{[3
]}

Venditti, M. ^{[1
]}

机构：

[1] Sapienza Univ Rome, Dept Publ Hlth & Infect Dis, Rome, Italy

[2] Univ Cattolica Sacro Cuore, Inst Infect Dis, Rome, Italy

[3] Univ Cattolica Sacro Cuore, Inst Microbiol, Rome, Italy

[4] Univ Cattolica Sacro Cuore, San Giovanni Addolorata Hosp, Rome, Italy

[5] Univ Cattolica Sacro Cuore, Inst Publ Hlth, Sect Hyg, Rome, Italy

来源：

CLINICAL MICROBIOLOGY AND INFECTION | 2015年 / 21卷 / 05期

关键词：

Candida bloodstream infection; Candida colonization; Clostridium difficile infection; oral vancomycin; ribotype; 027; TOXIN; OVERGROWTH; VANCOMYCIN; CRITERIA;

D O I：

10.1016/j.cmi.2014.12.024

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

The alterations occurring in the intestinal flora during Clostridium difficile infection (CDI) may promote the translocation of Candida to the blood and the development of candidaemia. The aim of our study was to analyse clinical findings of these patients to determine the risk factors associated with the development of candidaemia subsequent to CDI. We compared 35 patients with candidaemia subsequent to CDI with 105 patients with CDI. Patients with candidaemia showed more severe infections and higher mortality. The ribotype 027 strain and vancomycin treatment at >= 1000 mg/day were prevalent in patients developing candidaemia. CDI may predispose to the translocation of Candida. Clinical Microbiology and Infection (c) 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

引用

页码：493.e1 / 493.e4

页数：4

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