This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (126)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Roger L. Harvey, DO; Joseph P. Myers, MD

Arch Intern Med. 1987;147(12):2117-2120.

Abstract
• 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)

Author Affiliations
From the Northeastern Ohio Universities College of Medicine, Rootstown (Drs Harvey and Myers), the Department of Medicine, Western Reserve Care System, Youngstown, Ohio (Dr Harvey), and the Department of Internal Medicine, Division of Infectious Diseases, Akron (Ohio) General Medical Center (Dr Myers). Dr Harvey is now with the Division of Infectious Diseases, Wayne State University—Detroit Medical Center.

Footnotes
Accepted for publication Aug 31, 1987.

Reprint requests to Division of Infectious Diseases, Akron General Medical Center, 400 Wabash Ave, Akron, OH 44307 (Dr Myers).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pulmonary Fungal Infection : Emphasis on Microbiological Spectra, Patient Outcome, and Prognostic Factors
Chen et al.
Chest 2001;120:177-184.
ABSTRACT | FULL TEXT  

Outbreak of Pichia anomala Infection in the Pediatric Service of a Tertiary-Care Center in Northern India
Chakrabarti et al.
J. Clin. Microbiol. 2001;39:1702-1706.
ABSTRACT | FULL TEXT  

Fungal Empyema Thoracis : An Emerging Clinical Entity
Ko et al.
Chest 2000;117:1672-1678.
ABSTRACT | FULL TEXT  

Candida Infections in Critically Ill Trauma Patients: A Retrospective Case-Control Study
Borzotta and Beardsley
Arch Surg 1999;134:657-665.
ABSTRACT | FULL TEXT  

Emerging and Reemerging Microbial Threats: Nosocomial Fungal Infections
Henderson and Hirvela
Arch Surg 1996;131:330-337.
ABSTRACT  

A Randomized Trial Comparing Fluconazole with Amphotericin B for the Treatment of Candidemia in Patients without Neutropenia
Rex et al.
NEJM 1994;331:1325-1330.
ABSTRACT | FULL TEXT  

Prognostic Indicators in Fungemia of the Surgical Patient
Tang et al.
Arch Surg 1993;128:759-763.
ABSTRACT