Candida parapsilosis and the neonate: epidemiology, virulence and host defense in a unique patient setting

Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the most prominent species involved in these infections and has therefore been the subject of the most study, Candida parapsilosis is increasing i...

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Published inExpert review of anti-infective therapy Vol. 10; no. 8; pp. 935 - 946
Main Authors Chow, Brian DW, Linden, Jennifer R, Bliss, Joseph M
Format Journal Article
LanguageEnglish
Published England Informa Healthcare 01.08.2012
Taylor & Francis
Expert Reviews Ltd
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Abstract Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the most prominent species involved in these infections and has therefore been the subject of the most study, Candida parapsilosis is increasing in frequency, and neonates are disproportionately affected. This article reviews unique aspects of the epidemiology of this organism as well as strategies for prophylaxis against invasive candidiasis in general. Additionally, important differences between C.parapsilosis and C.albicans are coming to light related to virulence determinants and interactions with components of host immunity. These developments are reviewed while highlighting the significant gaps in our understanding that remain to be elucidated.
AbstractList Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the most prominent species involved in these infections and has therefore been the subject of the most study, Candida parapsilosis is increasing in frequency, and neonates are disproportionately affected. This article reviews unique aspects of the epidemiology of this organism as well as strategies for prophylaxis against invasive candidiasis in general. Additionally, important differences between C.parapsilosis and C.albicans are coming to light related to virulence determinants and interactions with components of host immunity. These developments are reviewed while highlighting the significant gaps in our understanding that remain to be elucidated.
Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the most prominent species involved in these infections and has therefore been the subject of the most study, Candida parapsilosis is increasing in frequency, and neonates are disproportionately affected. This article reviews unique aspects of the epidemiology of this organism as well as strategies for prophylaxis against invasive candidiasis in general. Additionally, important differences between C. parapsilosis and C. albicans are coming to light related to virulence determinants and interactions with components of host immunity. These developments are reviewed while highlighting the significant gaps in our understanding that remain to be elucidated.
Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the most prominent species involved in these infections and has therefore been the subject of the most study, Candida parapsilosis is increasing in frequency, and neonates are disproportionately affected. This article reviews unique aspects of the epidemiology of this organism as well as strategies for prophylaxis against invasive candidiasis in general. Additionally, important differences between C. parapsilosis and C. albicans are coming to light related to virulence determinants and interactions with components of host immunity. These developments are reviewed while highlighting the significant gaps in our understanding that remain to be elucidated.Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the most prominent species involved in these infections and has therefore been the subject of the most study, Candida parapsilosis is increasing in frequency, and neonates are disproportionately affected. This article reviews unique aspects of the epidemiology of this organism as well as strategies for prophylaxis against invasive candidiasis in general. Additionally, important differences between C. parapsilosis and C. albicans are coming to light related to virulence determinants and interactions with components of host immunity. These developments are reviewed while highlighting the significant gaps in our understanding that remain to be elucidated.
Audience Academic
Author Chow, Brian DW
Bliss, Joseph M
Linden, Jennifer R
AuthorAffiliation 3 Department of Pediatrics, Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, RI, USA
1 Department of Pediatrics, Hasbro Children’s Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA
2 Pathobiology Graduate Program, Brown University, Providence, RI, USA
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  surname: Chow
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  givenname: Jennifer R
  surname: Linden
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  email: jbliss@wihri.org
  organization: 1Department of Pediatrics, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA
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  givenname: Joseph M
  surname: Bliss
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  organization: 1Department of Pediatrics, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23030332$$D View this record in MEDLINE/PubMed
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Snippet Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the...
Invasive candidiasis is a common problem in premature infants that leads to high morbidity and mortality. Although Candida albicans has historically been the...
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SourceType Open Access Repository
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Publisher
StartPage 935
SubjectTerms Analysis
Antifungal agents
Antifungal Agents - therapeutic use
antifungal prophylaxis
antifungal resistance
Biofilms
Candida - immunology
Candida - pathogenicity
Candida - physiology
Candida albicans
Candida parapsilosis
Candidiasis
Candidiasis - drug therapy
Candidiasis - epidemiology
Candidiasis - immunology
Candidiasis - microbiology
Care and treatment
Cell Adhesion
Demographic aspects
Development
Diseases
Drug Resistance, Fungal
echinocandins
Epidemiology
fluconazole
Health aspects
host defense
Host-Pathogen Interactions
Humans
Immunity
Infant, Newborn
Infant, Newborn, Diseases - epidemiology
Infant, Newborn, Diseases - immunology
Infant, Newborn, Diseases - microbiology
Infants
Infants (Newborn)
Infection
lactoferrin
Morbidity
Mortality
Mycoses
Neonates
Prevalence
Prevalence studies (Epidemiology)
Prognosis
Prophylaxis
Receptors, Pattern Recognition - immunology
Reviews
Risk Factors
Virulence
Virulence Factors
Title Candida parapsilosis and the neonate: epidemiology, virulence and host defense in a unique patient setting
URI https://www.tandfonline.com/doi/abs/10.1586/eri.12.74
https://www.ncbi.nlm.nih.gov/pubmed/23030332
https://www.proquest.com/docview/1082452206
https://www.proquest.com/docview/1082407434
https://www.proquest.com/docview/1257747087
https://pubmed.ncbi.nlm.nih.gov/PMC3498909
Volume 10
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