Candiduria in intensive care unit: significance and value of yeast numeration in urine

Annales Françaises D'anesthèsie Et De Rèanimation
A SellamiA Ayadi

Abstract

Candiduria is increasingly frequent among patients admitted to intensive care units but its significance remains unclear. Search for eventual correlation between quantitative candiduria and known risk factors for invasive candidiasis. Prospective. A four-month study was conducted in 162 patients hospitalized in the intensive care unit for more than 72 hours. All patients underwent a weekly research of candiduria added to sampling from different body sites to determine the Pittet Candida colonization index. Candiduria has been proved in 56 cases (34%). It was superior or equal to 10(4) UFC/ml among 28 patients (50%). Candida tropicalis, Candida glabrata and Candida albicans has been isolated in 41, 22 and 20% respectively. All patients had at least one major and two minor risk factors for Candida infection. Six patients (10%) developed invasive candidiasis. The global mortality rate was at 52%. Pittet colonization index was significantly different between patients with candiduria and those with invasive candidiasis (p=0.01). There was a statistically significant correlation between candiduria superior or equal to 10(4) UFC/ml and Pittet colonization index superior or equal to 0.5 (p=0.01). Candiduria superior or equal to 10(4) U...Continue Reading

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Citations

Dec 7, 2007·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S C A ChenT C Sorrell
Oct 31, 2006·Annales Françaises D'anesthèsie Et De Rèanimation·S Aoufi, A Agoumi
Jun 18, 2014·Intensive Care Medicine·Philippe Eggimann, Didier Pittet
Dec 25, 2007·Revista Do Instituto De Medicina Tropical De São Paulo·Elza Helena da SilvaClaudete Rodrigues Paula
Nov 9, 2019·Revista iberoamericana de micología·Milena Melges Pesenti de SantanaRosane Christine Hahn

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