Nosocomial acquisition of Candida parapsilosis: An epidemiologic study
objective: The purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to Candida parapsilosis, Candida species are important nosocomial pathogens; however, little epidemiologic information is available. patients and methods: We prospectively cultured specimens...
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Published in | The American journal of medicine Vol. 94; no. 6; pp. 577 - 582 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.06.1993
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Subjects | |
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Abstract | objective: The purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to
Candida parapsilosis, Candida species are important nosocomial pathogens; however, little epidemiologic information is available.
patients and methods: We prospectively cultured specimens from 98 patients admitted to the bone marrow transplant unit and a medicine intensive care unit (ICU) of a tertiary care hospital Specimens from hands of personnel and environmental surfaces were also cultured. Environmental cultures were done before patients were admitted to a studied unit Restriction enzyme analysis (REA) of chromosomal DNA was used as a typing system to determine the relatedness of strains.
results:
C. parapsilosis was identified from five patients, six hand cultures from four hospital staff, and two environmental surfaces. All five patients had negative initial cultures and acquired
C. parapsilosis after admission to the study unit. There were no significant differences between patients and control subjects in age, underlying disease, immunosuppreeeive therapy, and instrumentation. The duration of antibiotic therapy (median: 32.8 versus 11.8 days, p = 0.05) and the duration in the unit (means 30.1 versus 16.1 days, p = 0.048) was longer in patients than in controls. No common source was identified. REA revealed three strain types; however, one strain type was identical in four patients, three staff members, and two environmental surfaces.
conclusion: These results suggest exogenous acquisition of
C. parapsilosis. Based upon isolation of identical patient strains of
C. parapsilosis from inanimate surfaces before patients were admitted to a study unit, there is evidence that the organism may have been acquired from the hospital environment The principal mechanism of transmission was probably indirect contact via the hands of hospital personnel |
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AbstractList | OBJECTIVEThe purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to Candida parapsilosis. Candida species are important nosocomial pathogens; however, little epidemiologic information is available.PATIENTS AND METHODSWe prospectively cultured specimens from 98 patients admitted to the bone marrow transplant unit and a medicine intensive care unit (ICU) of a tertiary care hospital. Specimens from hands of personnel and environmental surfaces were also cultured. Environmental cultures were done before patients were admitted to a studied unit. Restriction enzyme analysis (REA) of chromosomal DNA was used as a typing system to determine the relatedness of strains.RESULTSC. parapsilosis was identified from five patients, six hand cultures from four hospital staff, and two environmental surfaces. All five patients had negative initial cultures and acquired C. parapsilosis after admission to the study unit. There were no significant differences between patients and control subjects in age, underlying disease, immunosuppressive therapy, and instrumentation. The duration of antibiotic therapy (median: 32.8 versus 11.8 days, p = 0.05) and the duration in the unit (means: 30.1 versus 16.1 days, p = 0.048) was longer in patients than in controls. No common source was identified. REA revealed three strain types; however, one strain type was identical in four patients, three staff members, and two environmental surfaces.CONCLUSIONThese results suggest exogenous acquisition of C. parapsilosis. Based upon isolation of identical patient strains of C. parapsilosis from inanimate surfaces before patients were admitted to a study unit, there is evidence that the organism may have been acquired from the hospital environment. The principal mechanism of transmission was probably indirect contact via the hands of hospital personnel. The purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to Candida parapsilosis. Candida species are important nosocomial pathogens; however, little epidemiologic information is available. We prospectively cultured specimens from 98 patients admitted to the bone marrow transplant unit and a medicine intensive care unit (ICU) of a tertiary care hospital. Specimens from hands of personnel and environmental surfaces were also cultured. Environmental cultures were done before patients were admitted to a studied unit. Restriction enzyme analysis (REA) of chromosomal DNA was used as a typing system to determine the relatedness of strains. C. parapsilosis was identified from five patients, six hand cultures from four hospital staff, and two environmental surfaces. All five patients had negative initial cultures and acquired C. parapsilosis after admission to the study unit. There were no significant differences between patients and control subjects in age, underlying disease, immunosuppressive therapy, and instrumentation. The duration of antibiotic therapy (median: 32.8 versus 11.8 days, p = 0.05) and the duration in the unit (means: 30.1 versus 16.1 days, p = 0.048) was longer in patients than in controls. No common source was identified. REA revealed three strain types; however, one strain type was identical in four patients, three staff members, and two environmental surfaces. These results suggest exogenous acquisition of C. parapsilosis. Based upon isolation of identical patient strains of C. parapsilosis from inanimate surfaces before patients were admitted to a study unit, there is evidence that the organism may have been acquired from the hospital environment. The principal mechanism of transmission was probably indirect contact via the hands of hospital personnel. objective: The purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to Candida parapsilosis, Candida species are important nosocomial pathogens; however, little epidemiologic information is available. patients and methods: We prospectively cultured specimens from 98 patients admitted to the bone marrow transplant unit and a medicine intensive care unit (ICU) of a tertiary care hospital Specimens from hands of personnel and environmental surfaces were also cultured. Environmental cultures were done before patients were admitted to a studied unit Restriction enzyme analysis (REA) of chromosomal DNA was used as a typing system to determine the relatedness of strains. results: C. parapsilosis was identified from five patients, six hand cultures from four hospital staff, and two environmental surfaces. All five patients had negative initial cultures and acquired C. parapsilosis after admission to the study unit. There were no significant differences between patients and control subjects in age, underlying disease, immunosuppreeeive therapy, and instrumentation. The duration of antibiotic therapy (median: 32.8 versus 11.8 days, p = 0.05) and the duration in the unit (means 30.1 versus 16.1 days, p = 0.048) was longer in patients than in controls. No common source was identified. REA revealed three strain types; however, one strain type was identical in four patients, three staff members, and two environmental surfaces. conclusion: These results suggest exogenous acquisition of C. parapsilosis. Based upon isolation of identical patient strains of C. parapsilosis from inanimate surfaces before patients were admitted to a study unit, there is evidence that the organism may have been acquired from the hospital environment The principal mechanism of transmission was probably indirect contact via the hands of hospital personnel |
Author | Sanchez, Veronica Vazquez, Jose A. Zervos, Marcus J. Dembry, Louise Sobel, Jack D. Barth-Jones, Daniel |
Author_xml | – sequence: 1 givenname: Veronica surname: Sanchez fullname: Sanchez, Veronica organization: From the Department of Internal Medicine, Wayne State University School of Medicine Royal Oak, Michigan USA – sequence: 2 givenname: Jose A. surname: Vazquez fullname: Vazquez, Jose A. organization: From the Department of Internal Medicine, Wayne State University School of Medicine Royal Oak, Michigan USA – sequence: 3 givenname: Daniel surname: Barth-Jones fullname: Barth-Jones, Daniel organization: From the Department of Biostatistics, Wayne State University School of Medicine Royal Oak, Michigan USA – sequence: 4 givenname: Louise surname: Dembry fullname: Dembry, Louise organization: From the Department of Internal Medicine, Wayne State University School of Medicine Royal Oak, Michigan USA – sequence: 5 givenname: Jack D. surname: Sobel fullname: Sobel, Jack D. organization: From the Department of Internal Medicine, Wayne State University School of Medicine Royal Oak, Michigan USA – sequence: 6 givenname: Marcus J. surname: Zervos fullname: Zervos, Marcus J. organization: From the Department of Internal Medicine, Wayne State University School of Medicine Royal Oak, Michigan USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/8389525$$D View this record in MEDLINE/PubMed |
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Snippet | objective: The purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to
Candida parapsilosis, Candida species are... The purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to Candida parapsilosis. Candida species are important... OBJECTIVEThe purpose of this study was to determine aspects of the epidemiology of nosocomial infection due to Candida parapsilosis. Candida species are... |
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SubjectTerms | Adolescent Adult Aged Aged, 80 and over Antifungal Agents - therapeutic use Candidiasis - drug therapy Candidiasis - epidemiology Candidiasis - transmission Child Child, Preschool Cross Infection - drug therapy Cross Infection - epidemiology Cross Infection - microbiology DNA Restriction Enzymes - analysis DNA, Fungal - analysis Female Humans Male Michigan - epidemiology Middle Aged Prospective Studies |
Title | Nosocomial acquisition of Candida parapsilosis: An epidemiologic study |
URI | https://dx.doi.org/10.1016/0002-9343(93)90207-6 https://www.ncbi.nlm.nih.gov/pubmed/8389525 https://search.proquest.com/docview/75765465 |
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