Prevalence of Candida species in hospital-acquired urinary tract infections in a neonatal intensive care unit

Phillips, John R.; Karlowicz, M. Gary

doi:10.1097/00006454-199702000-00005

Cited by 113 publications

(73 citation statements)

References 15 publications

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“…This finding suggests that serial brain imaging may be valuable in cases of persistent candidemia, as others have described for RUS imaging. 17,31 Ophthalmologic involvement in neonates with candidemia has been reported in 0% 7,24 to 6% 23 of patients who underwent examinations. These cases demonstrate the importance of ophthalmologic examination in neonatal candidiasis, but currently available data are restricted primarily to clinical series, thus firm recommendations regarding timing of the examination cannot be made.…”

Section: Discussionmentioning

confidence: 99%

Low Yield of Ancillary Diagnostic Studies in Neonates Infected with Candida

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Low Yield of Ancillary Diagnostic Studies in Neonates Infected with Candida

et al. 2004

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“…Kandidaya bağlı idrar yolu enfeksiyonu sıklığı yaklaşık %0,5 civarında bildirilmiştir (31). Klinik bulgular, kandida sistitinden parankimal renal hastalığa kadar değişebil-mektedir.…”

Section: üRiner Sistemin Kandida Enfeksiyonlarıunclassified

Fungal Infections in Newborn

Gülaşı¹,

Çelik²

2017

Çocuk Enf Derg

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Sistemik fungal enfeksiyonlar yenidoğan bebeklerde, özellikle aşırı düşük doğum ağırlıklı prematürelerde yüksek mortalite ve morbidite oranlarına sahiptir. Prematüre bebekler, uzun süre parenteral beslenme, çoklu antibiyotik tedavileri, prematüriteden kaynaklanan bağışıklık yetmezliği nedeniyle fungal enfeksiyonlar için risk altındadırlar. Teknolojik gelişimle prematüre bebeklerin yaşam sınırının daha düşük gestasyon haftalarına çekilmesi sonucunda, yenidoğan yoğun bakım ünitelerinde invaziv girişimlerin, santral kateterlerin ve antibiyotiklerin kullanımı artmıştır. Tüm bu faktörler fungal enfeksiyon oranlarında artışı da beraberinde getirmiştir. Bu yazıda, yenidoğan döneminde görülebi-len fungal enfeksiyonların klinik ve tanısal özellikleri, güncel literatür bilgileri eşliğinde derlenmiştir. AbstractSystemic fungal infections have high mortality and morbidity rates in neonates, especially in extremely low birth weight premature infants. Because of longterm parenteral nutrition, multiple antibiotic therapy and immune deficiency due to prematurity, premature babies are at risk for fungal infections. With emerging technologies viability border in premature infants is drawn lower gestational ages and increased use of antibiotics, invasive procedures and central catheters have brought an increase in fungal infection rates. In this article, the clinical and diagnostic features of fungal infections which can be seen during the neonatal period, was reviewed and compiled with the current literature. (J Pediatr Inf 2016; 10: 143-50)

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“…When a Candidal urinary tract infection (UTI) is diagnosed in a neonate, it is important to assess the patient for candidemia. Phillips and Karlowicz found candidemia in 13 of 25 Candidal UTIs in neonates and Bryant et al reported this condition in 12 of 36 cases (7,8). Renal involvement in neonatal candidemia varies from 5% to 33% (9-11).…”

Section: Urinary Tract Infection With Candidamentioning

confidence: 99%

“…While a bag specimen for urine culture in neonate is not reliable, the growth of more than 103 colony forming units/mL (CFU/ML) in a urine culture gathered by suprapubic aspiration or greater than 10 4 CFU/mL in a catheter collected sample, there is Candidal UTI (7,16,17). Ultrasonography can find renal parenchymal involvement, mycetoma, fungal masses or obstructive effect of fungal mass in the urinary tract.…”

Section: Clinical Manifestations Of Candidal Utimentioning

confidence: 99%

Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature

Choobdar¹,

Zarei²,

Navaeifar³

et al. 2016

J Pediatr Rev

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Introduction: Candida is one of the common causes of infections in late sepsis of very low birth weight neonates. The outcome ranges from a mild focal disease to a fatal septicemia and multi-organ dysfunction. Case Presentation: Acute renal failure was found in a seven-week-old preterm infant due to bilateral renal fungal balls and hypoplastic renal pelvises. He had previously been treated with courses of broad-spectrum antibiotics for respiratory distress and sepsis during the first weeks of life. The infant did not respond to standard antifungal therapy and needed surgical removal of fungal balls from his kidneys, open nephrostomy tube placement and pyeloplasty. Conclusions: Obstructive uropathy by fungal balls is rare and acute renal failure as a result of bilateral obstructive uropathy due to fungal balls requires early detection and prompt treatment to salvage the kidney function.

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Prevalence of Candida species in hospital-acquired urinary tract infections in a neonatal intensive care unit

Cited by 113 publications

References 15 publications

Low Yield of Ancillary Diagnostic Studies in Neonates Infected with Candida

Low Yield of Ancillary Diagnostic Studies in Neonates Infected with Candida

Fungal Infections in Newborn

Obstructive Renal Failure Caused by Bilateral Renal Candidiasis and Hypoplastic Renal Pelvises in a Preterm Infant: Case Presentation and Review of the Literature

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