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Secular Trends in the Epidemiology of Nosocomial Fungal Infections in the United States, 1980-1990

Sague, C. M. B., Jarvis, W. R., National Nosocomial Infections Surveillance System·1993·Journal of Infectious Diseases

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Abstract

To identify pathogens causing nosocomial fungal infections and the secular trend in their incidence in US hospitals, data from the National Nosocomial Infections Surveillance System, 1980-1990, were analyzed. During that period, 30,477 fungal infections were reported. The rate rose from 2.0 to 3.8 infections/1000 discharges. The highest number of nosocomial fungal infections/1000 discharges was reported from the burn/trauma service (16.1). Candida albicans was the most frequently isolated fungal pathogen (59.7%), followed by other Candida species (18.6%). The rate increased at all four major anatomic sites of infection. Patients with bloodstream infections who had a central intravascular catheter were more likely to have a fungal pathogen isolated than were other patients with bloodstream infection (relative risk = 3.2; P < .001): 29% of fungemia patients and 17% of patients with bloodstream infection due to other pathogens died during hospitalization (P < .001). Fungi are emerging as important nosocomial pathogens and control efforts should target fungal infections, especially fungemia.

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Authors: Sague, C. M. B., Jarvis, W. R., & System, N. N. I. S.
Venue: Journal of Infectious Diseases
Publisher: Oxford University Press (OUP)
Published: 1993-05-01
Volume: 167
Issue: 5
Pages: 1247-1251
ISSN: 0022-1899 (ISSN-L)
1537-6613
DOI: 10.1093/infdis/167.5.1247
OpenAlex: W2114605201
Cited by: 1,140
References: 1
FWCI: 29.09
Type: journal article
Language: en
Open access: closed

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Secular Trends in the Epidemiology of Nosocomial Fungal Infections in the United States, 1980-1990

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