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作为印度北方邦西部新生儿和儿童败血症的一种新出现的罕见病因:病例系列。

as an emerging rare cause of septicemia among neonates and children in Western Uttar Pradesh: A case series.

作者信息

Singh Dharmendra Prasad, Verma Rajesh Kumar, Yadav Rajesh Kumar, Anant Ketan, Das Anupam

机构信息

Department of Microbiology, Uttar Pradesh University of Medical Sciences, Etawah, India.

Department of Paediatrics, Uttar Pradesh University of Medical Sciences, Etawah, India.

出版信息

Curr Med Mycol. 2024 May 7;10:e2024.345184.1529. doi: 10.22034/cmm.2024.345218.1529. eCollection 2024.

Abstract

BACKGROUND AND PURPOSE

is a recently emerging nosocomial fungal pathogen. Candidemia is the fourth most prevalent cause of bloodstream Infections with mortality rates varying from 5-71%.

MATERIALS AND METHODS

This was a retrospective study conducted at Uttar Pradesh University of Medical Sciences, Etawah, India, from September 2023 to February 2024. Rapid identification was performed by VITEK® 2 (BioMérieux, France) and 18 out of 20 cases were verified by matrix assisted laser desorption ionization-time of flight mass spectrometry (BioMerieux, France). Susceptibility testing was conducted by VITEK® 2 appropriate Card.

RESULTS

was mainly observed between 0-9-month-old neonates, except one case of 11 years old. The extended Intensive Care Unit stay and prior antibiotic use were common risk factors in all cases. They were pan susceptible to each of the tested antifungal medications, and 6 out of 10 cases showed positive clinical response after antifungal treatment.

CONCLUSION

Early identification and prompt treatment favors a good clinical outcome. The current research primarily aimed to elaborate on the speciation, incidence, and antifungal susceptibility testing of at a tertiary care center.

摘要

背景与目的

是一种最近出现的医院真菌病原体。念珠菌血症是血流感染的第四大常见病因,死亡率在5%至71%之间。

材料与方法

这是一项于2023年9月至2024年2月在印度埃塔瓦的北方邦医学科学大学进行的回顾性研究。通过VITEK® 2(法国生物梅里埃公司)进行快速鉴定,20例中的18例通过基质辅助激光解吸电离飞行时间质谱法(法国生物梅里埃公司)进行了验证。药敏试验通过VITEK® 2适用卡片进行。

结果

主要在0至9个月大的新生儿中观察到,除了1例11岁的病例。在所有病例中,延长的重症监护病房住院时间和先前使用抗生素是常见的危险因素。它们对每种测试的抗真菌药物均普遍敏感,10例中有6例在抗真菌治疗后显示出阳性临床反应。

结论

早期识别和及时治疗有利于取得良好的临床结果。当前研究主要旨在阐述三级护理中心的菌种鉴定、发病率和抗真菌药敏试验情况。

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