Candidemia A Review Over 5 Years at A 300 Beds Military Hospital (Serving Military Personnel and Their Families) In the United Arab Emirates
Abstract
Ahmad kanaan Uwaydah, Shady I Abdelmaksoud, Ahmed Atta and Ayesha AlQasimi
We report the occurrence of 93 episodes of candidemia over 5 years (2010-2014). Non Albicans Candida outnumbered Albicans as blood stream isolates. Candida Parapsilosis with intermediate sensitivity to fluconazole was the most prevalent isolate. New species never isolated before emerged in the last year (Krusei, Guilliermondii and Lusitanii). Central line use and antifungal therapy are discussed as possible factors leading to the change in Candida species and sensitivity. In view of the unusual sensitivity of C.parapsilosis and the emergence of new C.species prospective studies are required to evaluate candidemia risk factors, especially central line use and antifungal treatment patterns in order to formulate appropriate preventive and therapeutic recommendations.