Epidemiology and risk factors of candidemia due to Candida parapsilosis in an intensive care unit

Authors

  • Xiao-shu Zuo Wuhan University, Renmin Hospital, Department of Critical Care Medicine, Wuhan, Hubei Province, People's Republic of China http://orcid.org/0000-0002-9942-9960
  • Yanan Liu Wuhan University, Renmin Hospital, Department of Critical Care Medicine, Wuhan, Hubei Province, People's Republic of China
  • Ke Hu Wuhan University, Renmin Hospital, Department of Respiratory and Critical Care Medicine, Wuhan, Hubei Province, People's Republic of China http://orcid.org/0000-0001-9862-7239

DOI:

https://doi.org/10.1590/s1678-9946202163020%20

Keywords:

Candida parapsilosis, Candida spp, Candidemia, Risk factor

Abstract

We analyzed the clinical features and risk factors of candidemia due to C. parapsilosis (n=104) in the intensive care unit of a tertiary hospital over six years. This was a monocentric, retrospective study of candidemia, conducted from January 2013 to March 2019. Epidemiological characteristics, clinical features, invasive procedures, laboratory data and outcomes of 267 patients with candidemia were analyzed to determine risk factors of candidemia due to C. parapsilosis. Sixty-three cases of C. albicans and 204 cases of non-C. albicans Candida (NCAC) species were included, the latter was composed of 104 cases of C. parapsilosis and 100 cases of non-C. albicans species (46 cases of C. tropicalis, 22 cases of C. glabrata, 23 cases of C. guilliermondii, 5 cases of C. krusei and 4 cases of C. lusitaniae), suggesting that C. parapsilosis was the predominant Candida species isolated from cases of candidemia. A binary multivariate logistic regression analysis showed that APACHE II scores, central venous catheterization and the use of broad-spectrum antibiotics were closely related to C. parapsilosis candidemia, with OR values of 1.159, 3.913 and 2.217, respectively. In conclusion, we found that C. parapsilosis was the main pathogen among the NCAC candidemia in the ICU patients. APACHE II scores, central venous catheterization and the use of broad-spectrum antibiotics were independent risk factors for the occurrence of C. parapsilosis candidemia, which may provide data to support the early introduction of anti-fungal therapy.

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Published

2021-03-24

Issue

Section

Original Article

How to Cite

Epidemiology and risk factors of candidemia due to Candida parapsilosis in an intensive care unit. (2021). Revista Do Instituto De Medicina Tropical De São Paulo, 63, e20. https://doi.org/10.1590/s1678-9946202163020