Approach of clinicians to candiduria and related outcome in the elderly

García-Agudo, Lidia; Rodríguez-Iglesias, Manuel; Carranza-González, Rafael

doi:10.1016/j.mycmed.2018.05.011

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…20 Candida species are more common in the urine of the elderly, especially after broadspectrum antibiotic treatments, advanced age, normal physical changes, and/or various metabolic disorders or neoplastic diseases that cause disruption of the mucosal and cutaneous barriers and make the person vulnerable to Candida infections. 21 Interestingly we did not find a correlation between long-stay in ICU and candiduria while 64% of our patients develop candiduria days after admittance to ICU, in a similar study from France, the time between admission to the ICU and the development of candiduria was reported as 17.2±1.1 days. 4 There are no defined standard diagnostic criteria for diagnosis of Candida UTIs and their differention of from asymptomatic candiduria, and differentiation of upper from lower UTIs.…”

Section: Discussioncontrasting

confidence: 63%

An epidemiologic analysis of Candida spp. urinary infections in intensive care unit

Ekşi¹,

Hassan²,

Uğur³

et al. 2022

Rev Epidemiol Control Infect

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Background and objectives: The finding of Candida species in urine is an usual finding and is called candiduria. There is an increase in the frequency of urinary tract infections (UTI) caused by Candida especially in critically ill patients. This study aimed to determine the epidemiological, clinical, and mycological characteristics of Candida urinary infections in intensive care unit (ICU) and antifungal susceptibilities. Methods: Urine cultures of 394 ICU patients with clinical suspicion of UTI were evaluated. After 24-48 hours of incubation, colonies appeared to grow as yeast, were morphologically examined by Gram staining. Candida strains that grew 104 ≥ CFU/mL in urine cultures were accepted as candiduria. The susceptibilities of the Candida strains to amphotericin B, itraconazole, fluconazole, voriconazole, flucytosine, and caspofungin were investigated with broth microdilution method. Results: The distribution of the isolated 100 urinary Candida strains were as, 54 Candida albicans, 34 C. glabrata, 7 C. tropicalis, 2 C. kefyr, 2 C. lusitaniae, and 1 as C. parapsilosis. Among 100 Candida species isolated in our study susceptibility rates of amphotericin B, flucytosine, caspofungin, fluconazole, itraconazole, and voriconazole were 100%, 100%, 91%, 23%, 13%, 25.8%, respectively. Conclusion: Accurate identification of Candida spp., as well as the investigating the antifungal susceptibility, will be beneficial in terms of the effectiveness of the treatment and the prevention of resistance development.

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Section: Discussioncontrasting

confidence: 63%

An epidemiologic analysis of Candida spp. urinary infections in intensive care unit

Ekşi¹,

Hassan²,

Uğur³

et al. 2022

Rev Epidemiol Control Infect

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“…La prevalencia de candiduria en un paciente sondado es un hallazgo común y refleja habitualmente contaminación o infección asintomática 51 . Excepto en casos muy concretos (inmunodeprimidos, trasplantados) en pacientes con síntomas claros de infección urinaria, la candiduria presenta una baja incidencia de complicaciones y no debe tratarse.…”

Section: Mito 21 La Candiduria En Un Paciente Portador De Sonda Urinunclassified

Veinticinco mitos en enfermedades infecciosas en atención primaria que se asocian con sobrediagnóstico y sobretratamiento

Llor¹,

Moragas

Córdoba³

2018

Atención Primaria

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ResumenEl sobrediagnóstico y el sobretratamiento son comunes en la práctica clínica de las enfermedades infecciosas en atención primaria. A partir de estudios publicados en la literatura médica, identificamos mediante una revisión no sistemática un total de 25 mitos asociados al diagnóstico y tratamiento de las enfermedades infecciosas más frecuentemente manejadas en atención primaria y repasamos la literatura referente a cada mito. Estos mitos generan un uso inapropiado de pruebas diagnósticas (sobrediagnóstico) y prescripción innecesaria de antibióticos (sobretratamiento). La mayoría de estos mitos están arraigados entre los médicos de familia en nuestro país. Estos mitos no solo deben desacreditarse de nuestra práctica clínica, sino que tienen que ser revertidos y animamos a nuestros lectores a evaluar críticamente su práctica cuando se trata de los conceptos erróneos tratados en este artículo. Intentamos dar una guía a los profesionales clínicos que se enfrentan con estos cuadros clínicos frecuentes.

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Comparison of Monomicrobial versus Polymicrobial Candiduria: Time to Awareness of Candiduria

Kim

Lee

Kim

2019

Urogenit Tract Infect

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Approach of clinicians to candiduria and related outcome in the elderly

Cited by 3 publications

References 26 publications

An epidemiologic analysis of Candida spp. urinary infections in intensive care unit

An epidemiologic analysis of Candida spp. urinary infections in intensive care unit

Veinticinco mitos en enfermedades infecciosas en atención primaria que se asocian con sobrediagnóstico y sobretratamiento

Comparison of Monomicrobial versus Polymicrobial Candiduria: Time to Awareness of Candiduria

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