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Avicenna Journal of Clinical Microbiology and Infection، جلد ۱، شماره ۲، صفحات ۰-۰
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| عنوان فارسی |
Nosocomial Candiduria in Critically Ill Patients Admitted to Intensive Care Units in Qazvin, Iran |
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| چکیده فارسی مقاله |
Background A broad variety of fungi, especially Candida species, are becoming increasingly common causes of urinary tract infections in hospital settings. Objectives The current cross-sectional descriptive study aimed to determine the causative agents, risk factors and incidence rate of candiduria in critically ill patients, hospitalized in intensive care units (ICUs) of four Iranian hospitals. Patients and Methods A total of 155 children and adult patients, admitted to ICUs of the four university educational hospitals, who demonstrated Candida-positive urine cultures, were examined. Samples were processed via mycological procedures by direct microscopy and culture. Results Candiduria was confirmed in 50 (32.26 %) patients and Candida albicans was the most frequently isolated species representing 60.0% of isolates, followed by 14.0% C. glabrata, 12.0% C. parapsilosis, 10.0% C. krusei, and 4.0% C. tropicalis. Most patients were female (58%) with a mean age of 46.7 years old. Generally, 39.7% and 62% of adults and children showed candiduria, respectively. The commonest predisposing factors were antibiotic therapy (98.0%), urinary catheterization (92.0%), corticotherapy (84.0%), being female (42.6 %), use of feeding tube (56%), and extended hospitalization, respectively. Conclusions The high frequency of candiduria in ICU patients can be decreased by shortening the duration of urinary catheterization, avoiding extra antibiotics and corticosteroids, as well as controlling the predisposing factors and underlying conditions. |
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| کلیدواژه‌های فارسی مقاله |
Candidiasis،Yeasts،Intensive Care Unit،Candida albicans |
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| عنوان انگلیسی |
Nosocomial Candiduria in Critically Ill Patients Admitted to Intensive Care Units in Qazvin, Iran |
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| چکیده انگلیسی مقاله |
Background A broad variety of fungi, especially Candida species, are becoming increasingly common causes of urinary tract infections in hospital settings. Objectives The current cross-sectional descriptive study aimed to determine the causative agents, risk factors and incidence rate of candiduria in critically ill patients, hospitalized in intensive care units (ICUs) of four Iranian hospitals. Patients and Methods A total of 155 children and adult patients, admitted to ICUs of the four university educational hospitals, who demonstrated Candida-positive urine cultures, were examined. Samples were processed via mycological procedures by direct microscopy and culture. Results Candiduria was confirmed in 50 (32.26 %) patients and Candida albicans was the most frequently isolated species representing 60.0% of isolates, followed by 14.0% C. glabrata, 12.0% C. parapsilosis, 10.0% C. krusei, and 4.0% C. tropicalis. Most patients were female (58%) with a mean age of 46.7 years old. Generally, 39.7% and 62% of adults and children showed candiduria, respectively. The commonest predisposing factors were antibiotic therapy (98.0%), urinary catheterization (92.0%), corticotherapy (84.0%), being female (42.6 %), use of feeding tube (56%), and extended hospitalization, respectively. Conclusions The high frequency of candiduria in ICU patients can be decreased by shortening the duration of urinary catheterization, avoiding extra antibiotics and corticosteroids, as well as controlling the predisposing factors and underlying conditions. |
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| کلیدواژه‌های انگلیسی مقاله |
Candidiasis,Yeasts,Intensive Care Unit,Candida albicans |
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| نویسندگان مقاله |
سید امیر غیاثیان | seyed amir ghiasian
department of medical parasitology and mycology, school of medicine, hamadan university of medical sciences, hamadan, ir iran; psoriasis research center, hamadan university of medical sciences, hamadan, ir iran; department of medical parasitology and mycology, school of medicine, hamadan university of medical sciences, hamadan, ir iran. tel 98-9188129953
سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (Hamadan university of medical sciences)
محمدرضا آقامیریان | mohammad reza aghamirian
department of medical parasitology and mycology, school of medicine, qazvin university of medical sciences, qazvin, ir iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی قزوین (Qazvin university of medical sciences)
غلامرضا عشقی | golam reza eshghi
department of dermatology, school of medicine, hamadan university of medical sciences, hamadan, ir iran; psoriasis research center, hamadan university of medical sciences, hamadan, ir iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (Hamadan university of medical sciences)
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| نشانی اینترنتی |
http://www.ajcmicrob.com/index.php?page=article&article_id=21622 |
| فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/1795/article-1795-276907.pdf |
| کد مقاله (doi) |
10.17795/ajcmi-21622 |
| زبان مقاله منتشر شده |
fa |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
research-article |
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