Neonatal systemic candidiasis.
نویسندگان
چکیده
Ten babies who required neonatal intensive care developed systemic candidiasis. Eight were extremely preterm (28 weeks' gestation or less) and all received prolonged ventilation, multiple courses of broad spectrum antibiotics, and intravenous hyperalimentation. Diagnosis was established by culture of yeasts from suprapubic urine specimens; venous blood cultures proved unreliable. Initial treatment with 5-flucytosine alone in eight babies and combined with amphotericin B in two, eradicated the infection in nine babies, the treatment failure arising through diagnostic delay and development of resistance to 5-flucytosine. Prophylactic topical antifungal drugs, regular screening of suprapubic urine specimens, and prompt use of systemic antifungal agents before multifocal infection becomes established may reduce the incidence and improve outcome.
منابع مشابه
Systemic neonatal candidiasis.
Forty-five cases of systemic neonatal candidiasis were diagnosed over a 9-year period in a neonatal intensive care unit; 42 infants weighted less than 1.5 kg. All had been very ill with preceding bacterial sepsis and other complications of low birthweight. Where treatment was instituted the mortality was low (4 out of 39 dying) and complications of treatment were transitory. We therefore recomm...
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1Consultant Neonatologist, Neonatal Intensive Care Unit, Pediatric Department, Latifa Women & Children Hospital, Dubai Health Authority, UAE 2Consultant Neonatologist and Head of Pediatric Department & Neonatal Intensive Care Unit, Latifa Women & Children Hospital, Dubai Health Authority, UAE 3Specialist Senior Registrar, Neonatal Intensive Care Unit, Pediatric Department, Latifa Women & Childr...
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ورودعنوان ژورنال:
- Presse medicale
دوره 16 20 شماره
صفحات -
تاریخ انتشار 1983