Kaki Reham
Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Infectious Disease & Infection Control and Environmental Health, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Mycology. 2023 Jun 29;14(3):256-263. doi: 10.1080/21501203.2023.2227218. eCollection 2023.
presents a global health threat. We investigated risk factors and mortality of infections in a retrospective study in Saudi Arabia. We included 27 patients ≥14 with invasive from 2015-2022, with median age 58, and 66.7% males. All patients had indwelling devices. The most common infection sources were central line-associated bloodstream infection in 17 (63.0%), and urinary tract infections in four (12%). Fever and shock were observed in nine patients (33.3%) each, and 22 (81%) were admitted to the intensive care unit. Common comorbidities were diabetes and heart disease in 13 (48.1%) patients each. The median hospital stay was 78 days, and the median Charlson index was 4. The cultures were 100% susceptible to voriconazole, caspofungin, and amphotericin, while three were fully susceptible to fluconazole (11.1%). Despite treatment, 18 (66.7%) patients died. In conclusion, invasive infection had varied presentations. All patients had indwelling devices, and many had lengthy hospital stays. All isolates were susceptible to amphotericin and echinocandins, while few were fully susceptible to fluconazole.
呈现出一种全球健康威胁。我们在沙特阿拉伯进行了一项回顾性研究,调查感染的风险因素和死亡率。我们纳入了27例年龄≥14岁的侵袭性感染患者,时间跨度为2015年至2022年,中位年龄为58岁,男性占66.7%。所有患者均有留置装置。最常见的感染源是中心静脉导管相关血流感染,共17例(63.0%),尿路感染4例(12%)。9例患者(33.3%)出现发热,9例患者(33.3%)出现休克,22例(81%)患者入住重症监护病房。常见的合并症是糖尿病和心脏病,各有13例(48.1%)患者。中位住院时间为78天,中位查尔森指数为4。分离菌株对伏立康唑、卡泊芬净和两性霉素的敏感性为100%,而3例对氟康唑完全敏感(11.1%)。尽管进行了治疗,仍有18例(66.7%)患者死亡。总之,侵袭性感染表现多样。所有患者均有留置装置,许多患者住院时间较长。所有分离菌株对两性霉素和棘白菌素敏感,而对氟康唑完全敏感的较少。