Hospital-acquired candidemia in HIV-infected patients. Incidence, risk factors and predictors of outcome.

Brunella Posteraro, Giovanni Fadda, Roberto Cauda, Mario Tumbarello, Silvia Bertagnolio, Katleen De Gaetano Donati, Evelina Tacconelli, Giancarlo Scoppettuolo

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

26 Citazioni (Scopus)

Abstract

A retrospective case-control study was performed to analyze hospital-acquired candidemia in HIV-positive patients. To understand the impact of Highly Active Antiretroviral Therapy (HAART) on the incidence of nosocomial candidemia, two time periods were compared: A (1992-1996) and B (1997-2001). 32 out of 38 (84%) cases of candidemia were hospital-related. A significant reduction in the incidence of all cases of hospital-acquired candidemia has been observed in the post-HAART in respect to pre-HAART period (0.09 episodes vs. 1.1 per 100/py). Multivariate analysis showed that the presence of central venous catheter was the only variable independently associated with the development of nosocomial candidemia. The overall mortality rate was 59%. Univariate analysis indicated three prognostic indicators: presence of concomitant opportunistic infections, isolation of non-albicans Candida species; neutropenia. Multivariate analysis of prognostic indicators showed that isolation of non-albicans Candida species is the only independent variable. Despite the use of HAART, this disease still represents a severe complication of advanced stage of AIDS.
Lingua originaleEnglish
pagine (da-a)172-178
Numero di pagine7
RivistaJournal of Chemotherapy
Volume2004
Stato di pubblicazionePubblicato - 2004

Keywords

  • HIV
  • candidemia
  • nosocomial
  • risk factors

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