Although the spectrum of fungi causing bloodstream fungal infections continues to expand, Candida spp. remains responsible for the majority of these cases. The distribution of Candida species varies according to countries, regions and also institutions. In this study, we evaluated retrospectively the distribution of Candida species yielded from blood cultures of hospitalized patients in Ege University, Childrens Hospital between the dates. The frequency of fungi among agents growing in blood culture was evaluated. In case of the recurrent positive cultures from the same patient, only one strain was taken into consideration. Besides, after 15 days of negativity in blood culture, a positive culture was considered as a new candidemia episodes. Fungi were isolated from the blood cultures using the BacktAlert system (bioMérieux, France). They were identified with conventional mycological methods and their assimilation profiles were determined with ID 32 C (bioMérieux, France) between 2008-2014; and identified by MALDI TOFF MS (bioMérieux, France) between 2014-2017. A total of 281 fungal species from 252 patients were evaluated. 58.4% of the patients were male, 41.6% were female and the mean age was 4.5 (0.01-20.08). Candidemia was common in pediatric surgery unit followed by pediatric intensive care, gastroenterology and oncology services (Table 1). Two hundred seventy five of these strains (97.8%) were Candida species, while six were other fungi. The most common species of Candida was C. parapsilosis. Of the isolates, 32.4 % (91/281) were C. albicans and 65.4% (184/281) were nonalbicans Candida; C. parapsilosis (41.6%), C. glabrata (6.4%), C. tropicalis (5.3%), C. krusei (2.8%), C. kefyr (2.1%) and other Candida species (7.2%) (Table 2).
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