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Revista chilena de infectología

Print version ISSN 0716-1018

Abstract

CORTES, Jorge A; JAIMES, Jesús A  and  LEAL, Aura L. Incidence and prevalence of candidemia in critically ill patients in Colombia. Rev. chil. infectol. [online]. 2013, vol.30, n.6, pp.599-604. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182013000600004.

Introduction: Candidemia is an infectious complication with high morbidity and mortality in intensive care patients. Objective: The aim of this study was to determine the incidence and prevalence of candidemia in critically ill patients in Colombian hospitals between 2004 and 2008. Materials and Methods: Data from microbiologically confirmed candidemia cases, ICU stay and admissions were retrospectively recorded in 7 Colombian hospitals between 2004 and 2008. Time series analysis was performed with monthly incidence (number of cases of candidemia in relation to the number of patient-days) and prevalence (number of cases of candidemia in relation to the number of admissions) for each institution and the whole group. Results: 382 cases of candidemia were identified, with an incidence of 2,3 cases per 1.000 patient-days in ICU, and a prevalence of 1,4%. There was a trend to increased incidence (0,0066 additional cases per 1.000 ICU-days per month) and prevalence (0,0016 additional cases por 100 patients per month) of candidemia. This increase of candidemia cases was due to a rise of non- albicans Candida species, which corresponded to 44% of total isolates. Discusion and Conclusions: Candidemia cases in colombian ICUs are increasing, especially those caused by non albicans Candida species.

Keywords : Candidiasis; Fungemia/epidemiology; Hospitals; Cross infection; incidence; prevalence; Intensive Care Units/statistics & numerical data.

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