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dc.contributor.author | Nucci, Marcio | |
dc.contributor.author | Queiroz-Telles, Flavio | |
dc.contributor.author | Alvarado-Matute, Tito | |
dc.contributor.author | Tiraboschi, Iris Nora | |
dc.contributor.author | Cortes, Jorge | |
dc.contributor.author | Zurita, Jeannete | |
dc.contributor.author | Guzman-Blanco, Manuel | |
dc.contributor.author | Santolaya, Maria Elena | |
dc.contributor.author | Thompson, Luis | |
dc.contributor.author | Sifuentes-Osornio, Jose | |
dc.contributor.author | Echevarria Zarate, Juan Ignacio | |
dc.contributor.author | Colombo, Arnaldo L. | |
dc.date.accessioned | 2022-01-04T20:31:48Z | |
dc.date.available | 2022-01-04T20:31:48Z | |
dc.date.issued | 2013 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12866/10679 | |
dc.description.abstract | Background: The epidemiology of candidemia varies depending on the geographic region. Little is known about the epidemiology of candidemia in Latin America. Methods: We conducted a 24-month laboratory-based survey of candidemia in 20 centers of seven Latin American countries. Incidence rates were calculated and the epidemiology of candidemia was characterized. Results: Among 672 episodes of candidemia, 297 (44.2%) occurred in children (23.7% younger than 1 year), 36.2% in adults between 19 and 60 years old and 19.6% in elderly patients. The overall incidence was 1.18 cases per 1,000 admissions, and varied across countries, with the highest incidence in Colombia and the lowest in Chile. Candida albicans (37.6%), C. parapsilosis (26.5%) and C. tropicalis (17.6%) were the leading agents, with great variability in species distribution in the different countries. Most isolates were highly susceptible to fluconazole, voriconazole, amphotericin B and anidulafungin. Fluconazole was the most frequent agent used as primary treatment (65.8%), and the overall 30-day survival was 59.3%. Conclusions: This first large epidemiologic study of candidemia in Latin America showed a high incidence of candidemia, high percentage of children, typical species distribution, with C. albicans, C. parapsilosis and C. tropicalis accounting for the majority of episodes, and low resistance rates. | en_US |
dc.language.iso | eng | |
dc.publisher | Public Library of Science | |
dc.relation.ispartofseries | PLoS ONE | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.subject | Latin America | en_US |
dc.subject | major clinical study | en_US |
dc.subject | outcome assessment | en_US |
dc.subject | controlled study | en_US |
dc.subject | disease association | en_US |
dc.subject | incidence | en_US |
dc.subject | prospective study | en_US |
dc.subject | South and Central America | en_US |
dc.subject | age distribution | en_US |
dc.subject | amphotericin B | en_US |
dc.subject | antifungal susceptibility | en_US |
dc.subject | Candida | en_US |
dc.subject | Candida albicans | en_US |
dc.subject | Candida glabrata | en_US |
dc.subject | Candida parapsilosis | en_US |
dc.subject | Candida tropicalis | en_US |
dc.subject | candidemia | en_US |
dc.subject | fluconazole | en_US |
dc.subject | Fluconazole | en_US |
dc.subject | fungus identification | en_US |
dc.subject | molecular epidemiology | en_US |
dc.subject | voriconazole | en_US |
dc.subject | Species Specificity | en_US |
dc.subject | Epidemiological Monitoring | en_US |
dc.subject | Candida krusei | en_US |
dc.subject | fungus isolation | en_US |
dc.subject | Candidemia | en_US |
dc.subject | survival rate | en_US |
dc.subject | anidulafungin | en_US |
dc.subject | Pichia guilliermondii | en_US |
dc.subject | survival time | en_US |
dc.subject | Statistics, Nonparametric | en_US |
dc.subject | organisms by geographical distribution | en_US |
dc.subject | species distribution | en_US |
dc.title | Epidemiology of Candidemia in Latin America: A Laboratory-Based Survey | en_US |
dc.type | info:eu-repo/semantics/article | |
dc.identifier.doi | https://doi.org/10.1371/journal.pone.0059373 | |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.03.09 | |
dc.relation.issn | 1932-6203 |
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