当前位置: X-MOL 学术Mycopathologia › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Candidaemia Mortality Has not Changed Over the Last 2 Decades in Brazil.
Mycopathologia ( IF 5.5 ) Pub Date : 2020-06-10 , DOI: 10.1007/s11046-020-00466-5
Daiane F Dalla Lana 1 , Diego R Falci 2 , Valberto Sanha 1 , Sergio D Jaskulski Filho 1 , Felipe Schuch 3 , Alessandro C Pasqualotto 1, 4
Affiliation  

Despite advances in fungal diagnostics and antifungal therapy, mortality associated with candidaemia remains very high, particularly in developing countries. In this study, we reviewed the Brazilian literature on candidaemia over the last 20 years (1999–2019), with the aim to document if mortality rates changed over the years in Brazil. Variables studied included number of patients with candidaemia per study, age, most prevalent Candida species and use of antifungals. Selected manuscripts evaluated a median of 114 patients, the majority being men (54.4%). Median age was 45 year-old. The most prevalent species in all studies was C. albicans (37.3%), followed by C. parapsilosis (23.0%). An increase in use of echinocandins occurred in recent years, with a proportional decrease in the use of fluconazole and amphotericin B. Surprisingly, mortality of candidaemia has remained unchanged over the years in the largest Latin American country, regardless of treatment with echinocandins. Potential explanations for these findings are discussed.

更新日期:2020-06-10
down
wechat
bug