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Médecine et maladies infectieuses
Volume 48, n° 6
pages 414-418 (septembre 2018)
Doi : 10.1016/j.medmal.2018.04.392
Received : 16 January 2017 ;  accepted : 13 April 2018
Communications brèves
Candidemia in the intensive care unit: A 12-year retrospective cohort study in Reunion Island
Candidémies en service de réanimation : étude de cohorte rétrospective sur 12 ans à l’Île de la Réunion
 

G. Hoarau a, ⁎ , S. Picot a, J. Lemant b, J. Peytral c, P. Poubeau d, P. Zunic e, C. Mohr e, X. Coueffe f, P. Gerardin g, h, E. Antok b
a Service de bactériologie-virologie-parasitologie, centre hospitalier universitaire de La Réunion groupe hospitalier Sud Réunion, BP 350, 97448 Saint-Pierre, Reunion 
b Service de réanimation polyvalente, centre hospitalier universitaire de La Réunion, BP 350, 97448 Saint-Pierre, Reunion 
c Pharmacie, centre hospitalier universitaire de La Réunion, BP 350, 97448 Saint-Pierre, Reunion 
d Service de maladies infectieuses, centre hospitalier universitaire de La Réunion, BP 350, 97448 Saint-Pierre, Reunion 
e Service d’oncologie et d’hematologie clinique, centre hospitalier universitaire de la Réunion, BP 350, 97448 Saint-Pierre, Reunion 
f Service de chirurgie digestive, centre hospitalier universitaire de la Réunion, BP 350, 97448 Saint-Pierre, Reunion 
g Inserm centre d’investigation clinique (CIC1410), CHU de La Réunion, 97410 Saint-Pierre, Reunion 
h Université de La Réunion, CNRS 9192, Inserm 1187, IRD 249, CHU de La Réunion, UM 134 PIMIT « processus infectieux en milieu insulaire tropical », CYROI, 97490 Sainte-Clotilde, Reunion 

⁎Corresponding author.
Highlights

•
We provided for the first time the epidemiology of Candida bloodstream infection in an intensive care unit (ICU) in Reunion Island.
•
The epidemiology of candidemia in Reunion Island is characterized by the predominance of Candida albicans and the relative importance of Candida tropicalis .
•
The incidence rate of candidemia in the intensive care unit was estimated at 7.6‰.
•
We identified a 30% decrease in fluconazole consumption and increase in caspofungin and liposomal amphotericin B consumption in intensive care unit.
•
The implementation of IDSA recommendations in 2009 did not significantly modify the ecology of Candida species in the ICU.

The full text of this article is available in PDF format.
Abstract
Objectives

We aimed to describe the epidemiology of Candida bloodstream infection in an intensive care unit (ICU) in Reunion Island.

Methods

We performed a retrospective cohort study and evaluated 63 candidemia episodes, which occurred between January 2004 and December 2015 in the ICU of a University Hospital in St-Pierre.

Results

The incidence rate of candidemia in the ICU was estimated at 7.6%. Candida albicans was the most common yeast pathogen species recovered (54%), followed by Candida glabrata (17%), Candida tropicalis (12%) and Candida parapsilosis (10%). Between 2012 and 2015, we also observed a modification of antifungal use.

Conclusion

The epidemiology of candidemia in Reunion Island is characterized by the predominance of Candida albicans and by the relative importance of Candida tropicalis. This pattern corresponds to a model of epidemiological transition between the one usually observed in tropical areas and the one observed in temperate countries.

The full text of this article is available in PDF format.
Résumé
Objectifs

Nous avons cherché à décrire l’épidémiologie des candidémies dans un service de réanimation à l’Île de la Réunion.

Méthodes

Dans une cohorte rétrospective, nous avons étudié 63 épisodes de candidémie survenus entre janvier 2004 et décembre 2015 dans le service de réanimation du CHU Réunion, Saint-Pierre.

Résultats

En réanimation, l’incidence des candidémies était de 7,6 %. Candida albicans était l’espèce la plus isolée (54 %), suivie de Candida glabrata (17 %), Candida tropicalis (12 %) et Candida parapsilosis (10 %). De 2012 à 2015, des modifications ont été observées dans la prescription antifongique.

Conclusion

À l’Île de la Réunion, l’épidémiologie des candidémies en réanimation est caractérisée par la prédominance des infections à Candida albicans et l’importance relative de Candida tropicalis . Ce schéma correspond à un modèle de transition épidémiologique situé entre le modèle des régions tropicales et celui des pays tempérés.

The full text of this article is available in PDF format.

Keywords : Reunion Island, Intensive care unit, Candidemia

Mots clés : Île de la Réunion, Réanimation, Candidémie


OutlineMasquer le plan
Introduction
Patients and methods  (+)
Results
Discussion
Conclusion
Contribution of authors
Disclosure of interest


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