Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/11643
Título
Invasive Fusariosis in Nonneutropenic Patients, Spain, 2000-2015.
Autor(es)
Pérez-Nadales, Elena | Alastruey-Izquierdo, Ana ISCIII | Linares-Sicilia, María José | Soto-Debran, Juan Carlos | Abdala, Edson | García-Rodríguez, Julio | Montejo, Miguel | Muñoz, Patricia | Lletí, Miguel Salavert | Rezusta, Antonio | de Pipaón, Maite Ruiz Pérez | Yáñez, Lucrecia | Merino, Esperanza | Campos-Herrero, María Isolina | Costa-Mateo, José María | Fortún, Jesús | García-Lozano, Tomás | Garcia-Vidal, Carolina | Fernández-Ruiz, Mario | Sánchez-Reus, Ferran | Castro-Méndez, Carmen | Guerrero-Lozano, Inmaculada | Soler-Palacín, Pere | Aguado, José María | Martínez-Martínez, Luis | Torre-Cisneros, Julian | Nucci, Marcio
Fecha de publicación
2021-01
Cita
Emerg Infect Dis . 2021 Jan;27(1):26-35
Idioma
Inglés
Tipo de documento
journal article
Resumen
Invasive fusariosis (IF) is associated with severe neutropenia in patients with concurrent hematologic conditions. We conducted a retrospective observational study to characterize the epidemiology of IF in 18 Spanish hospitals during 2000-2015. In that time, the frequency of IF in nonneutropenic patients increased from 0.08 cases per 100,000 admissions in 2000-2009 to 0.22 cases per 100,000 admissions in 2010-2015. Nonneutropenic IF patients often had nonhematologic conditions, such as chronic cardiac or lung disease, rheumatoid arthritis, history of solid organ transplantation, or localized fusariosis. The 90-day death rate among nonneutropenic patients (28.6%) and patients with resolved neutropenia (38.1%) was similar. However, the death rate among patients with persistent neutropenia (91.3%) was significantly higher. We used a multivariate Cox regression analysis to characterize risk factors for death: persistent neutropenia was the only risk factor for death, regardless of antifungal therapy.
Versión en línea
DOI
Aparece en las colecciones
- Investigación > IIS > IMIBIC - Instituto Maimónides de Investigación Biomédica de Córdoba (Andalucía)
- Investigación > IIS > IiSGM - Instituto de Investigación Sanitaria Gregorio Marañón (Madrid)
- Investigación > IIS > IIS Aragón - Instituto de Investigación Sanitaria Aragón (Aragón)
- Investigación > IIS > IDIVAL - Instituto de Investigación Marqués de Valdecilla (Cantabria)
- Investigación > IIS > i+12 - Instituto de Investigación Hospital 12 de Octubre (Madrid)
- Investigación > ISCIII > Centro Nacional de Microbiología (CNM) > ISCIII - Artículos