Clinical characteristics and risk factors for mortality in Candida auris infections

iLABMED Pub Date : 2024-04-09 DOI:10.1002/ila2.38
Kang Li, Xin Liu, Danfeng Liu, Yuqi Zhi, Chang Dong, Pengrui Sun, Yueming Dong, Hongfang Pan, Yuxiang Zhang, Hong Lei
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Abstract

Background

Candida auris infections pose a threat to public health, necessitating increased awareness in China. This study aimed to analyze the strains of C. auris, assess the infection status, and investigate clinical characteristics and risk factors for mortality.

Methods

A retrospective analysis was conducted on 18 patients with Candida auris infection. We focused on evaluating basic characteristics, strain sources, and antibacterial susceptibility test results. Statistical methods were used to determine clinical features and identify risk factors for death.

Results

The strain type, composition ratio, and specimen source of C. auris were not associated with mortality. Neither the infection index nor the length of hospitalization showed an association with the prognosis. However, significant risk factors for mortality included cerebral infarction, cardiac disease, renal dysfunction, hypoproteinemia, and anemia (all p < 0.05).

Conclusions

Cerebral infarction, cardiac disease, renal dysfunction, hypoproteinemia, and anemia are significant risk factors for death in C. auris infections. These findings indicate the importance of recognizing and addressing these factors in the clinical management of C. auris infection.

念珠菌感染的临床特征和死亡风险因素
背景念珠菌感染对公众健康构成威胁,因此有必要在中国提高对念珠菌感染的认识。本研究旨在分析念珠菌菌株,评估感染状况,并调查临床特征和死亡风险因素。 方法 对 18 例白色念珠菌感染患者进行回顾性分析。我们重点评估了基本特征、菌株来源和抗菌药敏感性测试结果。采用统计方法确定临床特征并识别死亡风险因素。 结果 Auris 真菌的菌株类型、组成比例和标本来源与死亡率无关。感染指数和住院时间都与预后无关。然而,脑梗塞、心脏病、肾功能不全、低蛋白血症和贫血是导致死亡的重要危险因素(所有 p 均为 0.05)。 结论 脑梗塞、心脏病、肾功能不全、低蛋白血症和贫血是蛔虫感染死亡的重要危险因素。这些研究结果表明,在C. auris感染的临床治疗中识别和处理这些因素非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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