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10.1186/s12879-018-3100-2

http://scihub22266oqcxt.onion/10.1186/s12879-018-3100-2
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suck abstract from ncbi


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pmid29699503
      BMC+Infect+Dis 2018 ; 18 (1 ): 194
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  • Comparison of the incidence, clinical features and outcomes of invasive candidiasis in children and neonates #MMPMID29699503
  • Hsu JF ; Lai MY ; Lee CW ; Chu SM ; Wu IH ; Huang HR ; Lee IT ; Chiang MC ; Fu RH ; Tsai MH
  • BMC Infect Dis 2018[Apr]; 18 (1 ): 194 PMID29699503 show ga
  • BACKGROUND: Invasive candidiasis differs greatly between children and neonates. We aimed to investigate the different therapeutic approaches and their effects on treatment outcomes of these two groups. METHODS: Episodes of neonatal invasive candidiasis were compared with non-neonatal pediatric episodes during a 12-year cohort study. Clinical isolates were documented by matrix-assisted laser desorption/ionization-time of flight mass spectrometry and DNA sequencing, and antifungal susceptibility testing was performed. RESULTS: A total of 342 episodes of invasive candidiasis (113 neonatal and 229 non-neonatal pediatric episodes) in 281 pediatric patients (96 neonates and 185 children) were identified. Candida albicans was the most common pathogen causing invasive candidiasis in neonates and children (47.8% vs. 44.1%). The antifungal susceptibility profiles were not significantly different between neonates and children. More neonates received amphotericin B as therapy, whereas more children received fluconazole or caspofungin. Compared with children, neonates had a significantly longer duration of fungemia, higher rates of septic shock (34.5% vs. 21.8%; P?=?0.013), sepsis-attributable mortality (28.3% vs. 17.5%; P?=?0.024) and in-hospital mortality (42.7% vs. 25.4%; P?=?0.004) than children. Independent risk factors for treatment failure of invasive candidiasis were septic shock (odds ration [OR] 16.01; 95% confidence interval [CI] 7.64-33.56; P?
  • |Adolescent [MESH]
  • |Amphotericin B/therapeutic use [MESH]
  • |Antifungal Agents/*therapeutic use [MESH]
  • |Candida albicans/pathogenicity [MESH]
  • |Candidiasis, Invasive/*drug therapy/*epidemiology/etiology [MESH]
  • |Caspofungin/therapeutic use [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Cohort Studies [MESH]
  • |Female [MESH]
  • |Fluconazole/therapeutic use [MESH]
  • |Fungemia/drug therapy/epidemiology/*microbiology [MESH]
  • |Hospital Mortality [MESH]
  • |Humans [MESH]
  • |Incidence [MESH]
  • |Infant [MESH]
  • |Infant, Newborn [MESH]
  • |Male [MESH]
  • |Risk Factors [MESH]
  • |Taiwan/epidemiology [MESH]


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