Candida bloodstream infection in neonates.

Published

Journal Article (Review)

Neonatal candidemia is poorly understood and is a leading cause of nosocomial infectious mortality in the nursery. Prevention of candidemia has been difficult, although a combined approach of antifungal prophylaxis and targeted empirical therapy may eventually reduce morbidity and mortality. Multicenter prospective testing of an integrated approach to early diagnosis of neonatal candidemia using newer molecular techniques is also needed. Candidemia in the infant is cause for prompt removal (or replacement) of central vascular catheters and institution of antifungal therapy. End-organ evaluation is also probably warranted to guide treatment and facilitate prognostication. Given the continuing progress in clinical research infrastructure and development of new diagnostic tests and antifungal agents, substantial improvement in the prevention, diagnosis, and management of neonatal candidemia is plausible over the next decade.

Full Text

Duke Authors

Cited Authors

  • Benjamin, DK; Garges, H; Steinbach, WJ

Published Date

  • October 1, 2003

Published In

Volume / Issue

  • 27 / 5

Start / End Page

  • 375 - 383

PubMed ID

  • 14626501

Pubmed Central ID

  • 14626501

Electronic International Standard Serial Number (EISSN)

  • 1558-075X

International Standard Serial Number (ISSN)

  • 0146-0005

Digital Object Identifier (DOI)

  • 10.1016/s0146-0005(03)00061-2

Language

  • eng