SciELO - Scientific Electronic Library Online

 
vol.35 número5Sepsis neonatal tardía nosocomial en una unidad de terapia intensiva: agentes etiológicos y localización más frecuenteHistoplasmosis en pacientes con SIDA sin manifestaciones cutáneo-mucosas índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista chilena de infectología

versión impresa ISSN 0716-1018

Resumen

MARTINEZ, Pedro Antonio et al. Pediatric clinical experience in infectious endocarditis due to Candida spp. Rev. chil. infectol. [online]. 2018, vol.35, n.5, pp.553-559. ISSN 0716-1018.  http://dx.doi.org/10.4067/s0716-10182018000500553.

Background:

Treatment and outcome of Candida spp infectious endocarditis in children it most be based on treatment guidelines, however there are some controversies.

Aim:

To describe our experience on treatment of pediatric candidal infective endocarditis.

Methods:

Analytic prospective study, from January 2006 to December 2017. Parametric analysis for quantitative variable. Proportions were compared by χ2 and exact Fisher Test CI 95%. Mortality rate.

Results:

25 episodes of Candida spp infective endocarditis were treated with standard antifungal drugs. Mortality rate was higher on patients submited to endocardic vegetation resection (66.7%) RR= 3.16, (χ2 p = 0.029), children with lymphohemophagocytic syndrome (LHFS) (50 %) RR= 1.18 (χ2 = N.S.), in multidrug resistant bacterial co infection (57.14%), RR = 2, (χ2 = NS) also thrombotic endocarditis (88.9%) RR= 4.74 (χ2 p = 0.004).

Conclusion:

Multidrug resistant bacteria co infection with Candida sp IE, LHFS, and/or surgical treatment of endocardic vegetation, might be considered as bad prognostic factors.

Palabras clave : Infective endocarditis; Candida sp; lymphohemophagocytosis; Pseudomonas aeruginosa; Staphylococcus aureus; amphotericin B.

        · resumen en Español     · texto en Español     · Español ( pdf )