skip to main content
Idioma:

Fungaemia due to rare yeasts in a tertiary care university centre within 18 years

Alp, Sehnaz ; Gulmez, Dolunay ; Ayaz, Caglayan Merve ; Arikan‐Akdagli, Sevtap ; Akova, Murat

Mycoses, 2020-05, Vol.63 (5), p.488-493 [Periódico revisado por pares]

Germany: Wiley Subscription Services, Inc

Texto completo disponível

Citações Citado por
  • Título:
    Fungaemia due to rare yeasts in a tertiary care university centre within 18 years
  • Autor: Alp, Sehnaz ; Gulmez, Dolunay ; Ayaz, Caglayan Merve ; Arikan‐Akdagli, Sevtap ; Akova, Murat
  • Assuntos: Amphotericin B ; Antifungal agents ; antifungal resistance ; antifungal treatment ; azoles ; breakthrough fungaemia ; Echinocandins ; Fluconazole ; fungaemia ; Health risk assessment ; Itraconazole ; Malignancy ; Patients ; Posaconazole ; rare yeast ; Voriconazole
  • É parte de: Mycoses, 2020-05, Vol.63 (5), p.488-493
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Summary Background Fungaemia due to rare yeasts has been recognised as an emerging, clinically relevant, but less investigated condition. Intrinsic resistance or reduced susceptibility of these species to echinocandins or fluconazole remains as a challenge in empirical treatment. Objectives To describe the clinical characteristics, administered antifungal agents, outcomes of patients with rare yeasts other than Candida (RY‐OTC) fungaemia and determine the antifungal susceptibility profiles of the isolates. Patients and methods RY‐OTC fungaemia between January‐2001 and December‐2018 were retrospectively evaluated. Antifungal susceptibility tests were performed according to CLSI M27‐A3. Results We identified 19 patients with fungaemia due to 20 RY‐OTC (8 Trichosporon asahii, 4 Cryptococcus neoformans, 4 Saprochaete capitata, 3 Rhodotorula mucilaginosa, 1 Trichosporon mucoides) with an incidence of 2.2% among 859 fungaemia episodes. Haematological malignancy was the most common (42%) underlying disorder. In 6 patients, RY‐OTC fungaemia developed as breakthrough infection while receiving echinocandins, amphotericin B or fluconazole. Amphotericin B, fluconazole or voriconazole were the drugs of choice for the initial treatment of breakthrough fungaemia. Among patients without previous exposure to antifungals, the most common empirical treatment was an echinocandin (50%), followed by fluconazole (42%) and amphotericin B (8%). Overall mortality was 47%. Worse outcome was most common among patients receiving echinocandins (83% vs 25%, P < .05). Voriconazole and posaconazole showed the highest in vitro activity against all the isolates tested. Amphotericin B MICs were relatively higher and the degree of activity of fluconazole and itraconazole was variable. Conclusions Early recognition of RY‐OTC and knowledge about their susceptibility patterns remain crucial in initial treatment pending susceptibility data of isolates.
  • Editor: Germany: Wiley Subscription Services, Inc
  • Idioma: Inglês
Links
Voltar para lista de resultados
Ir para página anteriorAnterior Resultado  2 AvançarIr para próxima página

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.