A clinical and etiological analysis of candida urinary tract infections in intensive care unit
- VernacularTitle:ICU念珠菌尿道感染的临床及病原学分析
- Author:
Li WANG
;
Liyan ZHANG
;
Fang LIU
;
Lina YUAN
;
Hui LIANG
;
Yunzhuo CHU
- Publication Type:Journal Article
- Keywords:
Candida urinary tract infection;
Candiduria;
Candidemia;
Intensive care unit
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(13):21-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics, risk factors and pathogenic disposition of candida urinary tract infections in intensive care unit(ICU)patients. Methods A retrospective review and analysis of clinical information and urine culture of 83 ICU patients with the candida urinary tract infections. Results All patients had severe underlying diseases one or more complication and/or concomitant diseases were existed at the same time. All of the patients previously used broad-spectrum antibiotics and received invasion in diagnosis and therapy: indwelling urinary catheters, mechanical ventilation, incision of trachea, deep artery or vein operation with catheters indwelling, surgical operation and indwelling drainage tube (96.39%, 95.18%, 69.89%, 46.99%, 43.37%, 33.73%, respectively). In all the patients, 62.65% patients were elder. Hospitalization days of 54.22% patients staying in ICU were above 31 days. Mortality rate was in 39.76%( 33 cases ). C.tropicalis(55.91%) and C.albicans(35.48%) were the major pathogens. Seventy-four cases( 89.16%)were infected by one candida specie, and 9 cases( 10.84% )were infected by two or three candida species. The positive blood culture was found in 9 cases ( 10.84% ) also. Conclusions The ICU patients with severe underlying diseases and high risk factors may have candida urinary tract infections easily. C.tropicalis and C.albicans are the most common pathogens. Some candiduria is the evidence of candidemia.
