Clinical significance of nosocomial Trichosporon asahii in urine: A retrospective cohort study - 24/07/25
, Karla alhelí León-Palacios, Araceli Acosta-Ruiz, Ana Maria Gonzalez-Cardel, Graciela Rodriguez-ZuñigaHighlights |
• | Patients with prolonged hospitalization, indwelling urinary catheters, and antibacterial exposure can be colonized for T. asahii. |
• | Nosocomial T. asahii does not correlate with invasive trichosporonosis. |
• | Nosocomial T. asahii in urine is an indirect marker of critically ill patients with a high risk of mortality. |
Abstract |
Objectives |
To describe the clinical characteristics and outcomes of patients with urine cultures positive for Trichosporon sp with nosocomial acquisition.
Methods |
Retrospective cohort study between 2019 and 2023 that included all patients with urinary isolates of Trichosporon sp; their clinical data and outcomes were drawn from medical records.
Results |
Twenty-six patients had urinary Trichosporon asahii. Length of hospital stay before urinary culture with T. asahii averaged 25 days. Seventy percent stayed in the intensive care unit. All patients had an additional bacterial infection and were receiving antibiotic therapy. During the first 30 days, only 57 % were alive. There were no factors significantly associated with mortality.
Conclusions |
The isolation of T. asahii in urine cultures of patients with extended hospital stay does not suggest invasive disease. T. asahii in urine may be a marker of critically ill patients with a high risk of mortality.
Le texte complet de cet article est disponible en PDF.Keywords : Trichosporon, Hospitalization, Fungemia
Plan
Vol 55 - N° 5
Article 105059- août 2025 Retour au numéro
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