Clinical microbiology of neonatal candidiasis in Hungary

Acta Microbiol Immunol Hung. 2010 Dec;57(4):407-17. doi: 10.1556/AMicr.57.2010.4.7.

Abstract

The occurrence of Candida spp. was investigated during a three-year period in two neonatal intensive care units, Budapest, Hungary. The species distribution among the 41 analysed cases was the following: C. albicans (30/41, 73%), C. parapsilosis (10/41, 24%) and C. glabrata (1/41, 3%). All of the isolates were susceptible to the tested drugs. There was a significant difference in the birth weight, the gestational age <30 weeks and the occurrence of caesarean section between the C. albicans and the C. parapsilosis groups of the cases. Respiratory tract colonization was the same (76-77%) in the extremely low birth weight (ELBW) and the very low birth weight (VLBW) groups. Comparing the ELBW, VLBW, and >1500 g birth weight groups, significant difference was found in the parenteral nutrition, the gestation weeks <36 or <30, the polymicrobial infection and the transfusion. The ratio of C. albicans, C. parapsilosis and C. glabrata was 9:7:1 in ELBW group; 6:3:0 in VLBW group and 15:1:0 in >1500 g group. The mortality rate for C. parapsilosis was higher than for C. albicans.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphotericin B / therapeutic use
  • Candida / classification
  • Candida / isolation & purification*
  • Candida albicans / isolation & purification
  • Candida glabrata / isolation & purification
  • Candidiasis / drug therapy
  • Candidiasis / epidemiology*
  • Candidiasis / microbiology*
  • Candidiasis / mortality
  • Cesarean Section
  • Female
  • Fluconazole / therapeutic use
  • Gestational Age
  • Humans
  • Hungary
  • Infant, Extremely Low Birth Weight
  • Infant, Low Birth Weight
  • Infant, Newborn
  • Infant, Premature, Diseases / drug therapy
  • Infant, Premature, Diseases / epidemiology*
  • Infant, Premature, Diseases / microbiology*
  • Intensive Care Units, Neonatal*
  • Male
  • Parenteral Nutrition

Substances

  • Amphotericin B
  • Fluconazole