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risk factors and outcomes of candidemia caused by biofilm-forming isolates in a tertiary care hospital风险因素和结果所导致的candidemia biofilm-forming在三级保健医院隔离
Risk Factors and Outcomes of Candidemia Caused by
Biofilm-Forming Isolates in a Tertiary Care Hospital
1 2 1 3
Mario Tumbarello *, Barbara Fiori , Enrico Maria Trecarichi , Patrizia Posteraro , Angela
1 4 2 2 1
Raffaella Losito , Alessio De Luca , Maurizio Sanguinetti , Giovanni Fadda , Roberto Cauda ,
Brunella Posteraro5
` `
1 Institute of Infectious Diseases, Universita Cattolica del Sacro Cuore, Rome, Italy, 2 Institute of Microbiology, Universita Cattolica del Sacro Cuore, Rome, Italy,
`
3 Laboratory of Clinical Pathology and Microbiology, Ospedale San Carlo, Rome, Italy, 4 Hospital Pharmacy, Universita Cattolica del Sacro Cuore, Rome, Italy, 5 Institute of
`
Hygiene, Universita Cattolica del Sacro Cuore, Rome, Italy
Abstract
Background: Very few data exist on risk factors for developing biofilm-forming Candida bloodstream infection (CBSI) or on
variables associated with the outcome of patients treated for this infection.
Methods and Findings: We identified 207 patients with CBSI, from whom 84 biofilm-forming and 123 non biofilm-forming
Candida isolates were recovered. A case-case-control study to identify risk factors and a cohort study to analyze outcomes
were conducted. In addition, two sub-groups of case patients were analyzed after matching for age, sex, APACHE III score,
and receipt of adequate antifungal therapy. Independent predictors of biofilm-formi
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