• Е.В. Шагдилеева
  • Р.Р. Файзуллина
  • О.А. Белова
  • Т.Н. Кузнецова
  • С.Э. Воронович
  • Г.В. Рубин
  • С.К. Воробьева
  • В.С. Хонько
  • Н.З. Котина
  • Т.С. Богомолова
  • И.В. Выборнова
  • А.С. Колбин
  • Н.Н. Климко
Invasive candidiasis is a serious complication in newborns. In the prospective study from January 2015 to July 2019 were included 31 neonates with “proven” IC according to the EORTC / MSG 2008 criteria, females - 58%. Premature neonates accounted for 87% of patients. Birth weight was from 560 to 4000 g (median - 1280 g), median gestational age at birth - 29 weeks (23 - 40). Broad-spectrum antibacterial drugs were prescribed in 100% patients, central venous catheter (CVC) - 93%, mechanical ventilation - 84%, parenteral nutrition - 71 %, blood transfusion - 55%. The main clinical variant of IC was candidemia - 97%, chorioretinitis (6%), meningitis (3%), and hepatitis (3%). The pathogens of IC were C. albicans - 45%, C. parapsilosis - 29%, and C. famata - 13%. In vitro resistant to fluconazole were 3% pathogens, dose-dependent susceptible to fluconazole - 6%. Fluconazole prophylaxis received 94% patients. In the first 24 hours after diagnosis, CVC was removed / replaced in 87% patients. In the first 24 hours after diagnosis, antifungal treatment was used in 100% patients: fluconazole (100%), micafungin (35%). The overall 30-day survival rate was 80,6%, the survival of three patients was unknown.
Translated title of the contributionINVASIVE CANDIDIASIS IN NEONATES IN SAINT PETERSBURG: CLINICAL CASE AND RESULTS OF THE PROSPECTIVE STUDY
Original languageRussian
Pages (from-to)17-23
JournalПРОБЛЕМЫ МЕДИЦИНСКОЙ МИКОЛОГИИ
Volume21
Issue number4
StatePublished - 2019

ID: 54261811