Vos Margreet C, Endtz Hubert P, Horst-Kreft Deborah, Doorduijn Jeanette, Lugtenburg Elly, Verbrugh Henri A, Löwenberg Bob, de Marie Siem, van Pelt Cindy, van Belkum Alex
Department of Medical Microbiology & Infectious Diseases, Erasmus Medical Center, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
J Clin Microbiol. 2006 Mar;44(3):1111-4. doi: 10.1128/JCM.44.3.1111-1114.2006.
A sudden increase in neutropenic hematology patients with Candida krusei colonization and bacteremia prompted a longitudinal epidemiological investigation. We identified 39 patients; 13 developed candidemia, and three died; 25 patients carried the same genotype. We intervened by changing antifungal prophylaxis and implementing strict infection control measures. The incidence dropped immediately.
克鲁斯念珠菌定植和菌血症导致的中性粒细胞减少血液学患者突然增加,促使我们开展了一项纵向流行病学调查。我们确定了39名患者;其中13人发生念珠菌血症,3人死亡;25名患者携带相同基因型。我们通过改变抗真菌预防措施和实施严格的感染控制措施进行干预。发病率立即下降。