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 in | Expert review of anti-infective therapy Vol. 10; no. 8; pp. 935 - 946 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
Informa Healthcare
01.08.2012
Taylor & Francis Expert Reviews Ltd |
Subjects | |
Online Access | Get full text |
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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. |
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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 |
AuthorAffiliation_xml | – name: 1 Department of Pediatrics, Hasbro Children’s Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA – name: 2 Pathobiology Graduate Program, Brown University, Providence, RI, USA – name: 3 Department of Pediatrics, Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, RI, USA |
Author_xml | – sequence: 1 givenname: Brian DW surname: Chow fullname: Chow, Brian DW email: jbliss@wihri.org organization: 1Department of Pediatrics, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA – sequence: 2 givenname: Jennifer R surname: Linden fullname: Linden, Jennifer R email: jbliss@wihri.org organization: 1Department of Pediatrics, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA – sequence: 3 givenname: Joseph M surname: Bliss fullname: Bliss, Joseph M email: jbliss@wihri.org 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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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 |
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