TY  - JOUR
T1  - NOsocomial fungemia in a large community teaching hospital
AU  - Harvey RL, Myers JP
Y1  - 1987/12/01
N1  - 10.1001/archinte.1987.00370120053011
JO  - Archives of Internal Medicine
SP  - 2117
EP  - 2120
VL  - 147
IS  - 12
N2  - • This report reviews 48 episodes of hospital-acquired fungemia that occurred over a four-year period at a large community teaching hospital. The incidence of hospital-acquired fungemia increased eightfold during the study period. Candida albicans (58%), Candida tropicalis (25%), and Candida parapsilosis (15%) were the most common fungal pathogens isolated from blood cultures. Twenty-one patients (44%) had concomitant bacteremia. Intravascular catheters (100%), antibiotic administration (98%), urinary catheters (81%), surgical procedures (65%), parenteral alimentation (60%), and corticosteroid administration (54%) were the most common predisposing factors. The overall mortality rate was 75%. Hospitalization on the medical service, age greater than 60 years, and hospital stay less than 100 days were associated with a significantly increased mortality rate.(Arch Intern Med 1987;147:2117-2120)
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1987.00370120053011
UR  - http://dx.doi.org/10.1001/archinte.1987.00370120053011
ER  -