Risk factors for candidemia in cancer patients: a case-control study

Author:

Karabinis A1,Hill C1,Leclercq B1,Tancrède C1,Baume D1,Andremont A1

Affiliation:

1. Service de Microbiologie Médicale, Institut Gustave-Roussy, Villejuif, France.

Abstract

Risk factors for candidemia were analyzed in a case-control study of 30 cancer patients with candidemia and 58 controls. In a univariate analysis, previous surgery, neutropenia, central catheterization, chemotherapy, specific antibiotic treatments, and peripheral cultures positive for Candida spp. were associated with a significantly increased risk of candidemia. In a multivariate logistic model, the significant risk factors for candidemia were positive peripheral cultures for Candida spp. (P = 0.02), central catheterization (P = 0.03), and neutropenia (P = 0.05). These results should help to identify cancer patients with a high risk of candidemia, who should be given early systemic antifungal therapy.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference20 articles.

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3. Breslow N. E. and N. E. Day (ed.). 1980. The analysis of case-control studies p. 248-279. International Agency for Research on Cancer Lyon France.

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5. Current trends in immunodiagnosis of candidiasis and aspergillosis;de Repentigny L.;Rev. Infect. Dis.,1984

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