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Epidemiological and mycological characteristics of candidemia in Iran: A systematic review and meta-analysis.

Abstract：

:To date, there has been no comprehensive review of the epidemiology, risk factors, species distribution, and outcomes of candidemia in Iran. This study aimed to perform a systematic review and meta-analysis of all reported candidemia cases in Iran until December 2015. The review process occurred in three steps, namely a literature search, data extraction and statistical analyses. After a comprehensive literature search, we identified 55 cases. The mean age of patients was 46.80±24.30 years (range 1-81 years). The main risk factors for candidemia were surgery and burns (23.6%), followed by malignancies (20%), use of broad-spectrum antibiotics (18.2%), and diabetes (7.3%). Candida parapsilosis (n=17, 30.8%) was the leading agent, followed by Candida albicans (n=15, 27.3%), Candida glabrata (n=10, 18.2%), and Candida tropicalis (n=8, 14.5%). The frequencies of candidemia cases due to C. glabrata, C. parapsilosis, and C. albicans were significantly higher among patients aged>60, 21-40, and 41-60 years, respectively. Comparison of risk factors for candidemia by multiple logistic regression showed that one of the most important risk factors was surgery (OR: 4.245; 95% CI: 1.141-15.789; P=0.031). The outcome was recorded in only 19 cases and 13 of those patients (68.4%) expired. This study confirms that knowledge of the local epidemiology is important when conducting surveillance studies to prevent and control candidemia and will be of interest for antifungal stewardship.

journal_name

J Mycol Med

journal_title

Journal de mycologie medicale

authors

Vaezi A,Fakhim H,Khodavaisy S,Alizadeh A,Nazeri M,Soleimani A,Boekhout T,Badali H

doi

10.1016/j.mycmed.2017.02.007

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

146-152

issue

2

eissn

1156-5233

issn

1773-0449

pii

S1156-5233(17)30007-0

journal_volume

27

pub_type

杂志文章,meta分析,评审

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