Candidaemia in polish hospitals – a multicentre survey


  • The study was presented as a poster during the 22nd European Congress of Clinical Microbiology and Infectious Diseases. London, UK, 31 March–3 April 2012; Clin. Microbiol. Infect. 2012 Vol. 18 Suppl. 3; p. 153–154. P779

Correspondence: U. Nawrot, PhD, Department of Microbiology, Medical University of Wrocław, Chalubinskiego 4, 50-368 Wrocław, Poland.

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Significant changes in the frequency of candidaemia and the distribution of causative species have been noted worldwide in the last two decades. In this study, we present the results of the first multicentre survey of fungaemia in Polish hospitals. A total of 302 candidaemia episodes in 294 patients were identified in 20 hospitals during a 2-year period. The highest number of infections was found in intensive care (30.8%) and surgical (29.5%) units, followed by haematological (15.9%), ‘others’ (19.2%) and neonatological (4.6%) units. Candida albicans was isolated from 50.96% of episodes; its prevalence was higher in intensive care unit and neonatology (61.22% and 73.33%, respectively), and significantly lower in haematology (22%; P < 0.001). The frequency of C. krusei and C. tropicalis was significantly higher (24% and 18%) in haematology (P < 0.02); whereas, the distribution of C. glabrata (14.1%) and C. parapsilosis (13.1%) did not possess statistically significant differences between compared departments. Obtained data indicates that species distribution of Candida blood isolates in Polish hospitals reflects worldwide trends, particularly a decrease in the prevalence of infections due to C. albicans.