Murat DİZBAY, Büşra Ergüt SEZER, Dilek ARMAN

İnvaziv Kandida İnfeksiyonlarının Erken Tanısında Kandida Kolonizasyon İndeksinin Tanı Değeri

Amaç: Kandida kolonizasyon indeksinin (KKİ), karışık (dahili ve cerrahi yoğun bakım ünitelerinde) (YBÜ) invaziv kandida enfeksiyonun erken tanısında tanı değerini araştırmak. Yöntem: Reanimasyon ve nörolojik yoğun bakım ünitesine 19 ay boyunca başvuran hastalardan alınan ağız, aksilla, nazogastrik kateter, rektum ve idrar kültürü örnekleri retrospektif olarak değerlendirildi ve KKİ hesaplandı. Bulgular: Yirmidokuz hastanın kültürlerinde KKİ ≥0,5 seviyelerine erişti. 29 hastada kandida enfeksiyonu gelişti; 27(27/29) si KKİ ≥0,5 tespit edildi. 18 hastada üriner sistem enfeksiyonu, 10 hastada kandidemi, 1 hastada yara yeri enfeksiyonu gelişti. KKİ ≥0,5, invaziv kandida enfeksiyonu için tek bağımsız risk faktörü olarak bulundu. (p

Diagnostic Value of Candida Colonization Index in The Early Diagnosis of Invasive Candidal Infection

Objective: To investigate the diagnostic value of Candida colonizationindex (CCI) in the early diagnosis of invasive candidal infection in medicalmix (medical and surgical intensive care units (ICU).Methods: Mouth, axillae, nasogastric catheter, rectum, and urine culturesamples taken from the patients admitted to the reanimation andneurological ICU for 19 months were retrospectively evaluated and CCIwere calculated.Results: CCI reached ≥0,5 in the cultures of 29 patients. 29 patientsdeveloped candidal infection; 27 (27/29) of them had CCI ≥0,5. 18 patientsdeveloped urinary infections, 10 patients developed candidemia, and 1patient developed wound infection. CCI ≥0,5 was found as the onlyindependent predictor for invasive candidal infection (p

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