Department of Microbiology, University Children's Hospital, Wielicka 265, 30-663 Krakow, Poland.
Department of Oncology and Hematology, University Children's Hospital, Wielicka 265, 30-663 Krakow, Poland.
Int J Environ Res Public Health. 2022 Feb 21;19(4):2485. doi: 10.3390/ijerph19042485.
Oncological patients are especially predisposed to fungal infections due to multiple risk factors and immunocompromising treatment. Epidemiological research regarding pediatric oncologic patients is still insufficient, and existing data are difficult to generalize on different populations. Therefore, we aimed to analyze fungal infections and fungal epidemiology in the Department of Oncology and Hematology of the University Children's Hospital in Krakow with help from the Clinical Microbiology Department. During the chosen period of 2005 and 2015-2020, 2342 tests were performed in our ward on 847 patients. Analyzed samples were divided into five source groups. The amount of patients with positive test results was 62.5%. The year with the highest detection level was 2005. The most frequent pathogen was , with a significant decrease in tendency. An increase in non-albicans species was observed. was not frequently observed compared to similar studies. We noticed an increase in positive results from the urinary tract material. Our results confirmed that fungal infections are still an issue, and they may indicate the efficacy of prophylaxis. The majority of our results are consistent with the literature, yet we managed to emphasize data unique to our patients' population. Our findings are helpful in clinical work and for further studies in our center.
由于多种风险因素和免疫抑制治疗,肿瘤患者尤其容易发生真菌感染。儿科肿瘤患者的流行病学研究仍然不足,现有的数据难以推广到不同人群。因此,我们旨在借助临床微生物学系,分析克拉科夫大学儿童医院肿瘤和血液科的真菌感染和真菌流行病学。在选择的 2005 年至 2015-2020 年期间,我们病房对 847 名患者进行了 2342 次检测。分析的样本分为五个来源组。阳性检测结果的患者数量为 62.5%。检测水平最高的年份是 2005 年。最常见的病原体是 ,其趋势呈显著下降。非白色念珠菌物种的数量有所增加。与类似研究相比, 并不常见。我们注意到来自尿材的阳性结果有所增加。我们的结果证实真菌感染仍然是一个问题,这可能表明预防措施的有效性。我们的大多数结果与文献一致,但我们成功地强调了我们患者群体特有的数据。我们的研究结果有助于临床工作和我们中心的进一步研究。