Comparative Study of Mortality and Morbidity in Premature Infants (Birth Weight, <1,250 g) with Candidemia or Candidal Meningitis

Little information is available on long-term neurodevelopment of premature neonates with invasive candidal infections. We retrospectively studied the outcomes for 25 premature neonates (birth weight, .05), and 29% (4 of 14) of surviving cases and 14% (3 of 21) of controls were disabled (P > .05)...

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Veröffentlicht in:Clinical infectious diseases 1998-09, Vol.27 (3), p.559-565
Hauptverfasser: Lee, Bonita E., Cheung, Po-Yin, Robinson, Joan L., Evanochko, Christene, Robertson, Charlene M. T.
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container_issue 3
container_start_page 559
container_title Clinical infectious diseases
container_volume 27
creator Lee, Bonita E.
Cheung, Po-Yin
Robinson, Joan L.
Evanochko, Christene
Robertson, Charlene M. T.
description Little information is available on long-term neurodevelopment of premature neonates with invasive candidal infections. We retrospectively studied the outcomes for 25 premature neonates (birth weight, .05), and 29% (4 of 14) of surviving cases and 14% (3 of 21) of controls were disabled (P > .05). More cases had combined mortality and neurodevelopmental disabilities than did controls (60% vs. 28%, respectively; P < .05). Use of invasive therapies should be minimized for premature neonates at risk for invasive candidal infection that is associated with adverse outcomes.
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T.</creatorcontrib><title>Comparative Study of Mortality and Morbidity in Premature Infants (Birth Weight, &lt;1,250 g) with Candidemia or Candidal Meningitis</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><description>Little information is available on long-term neurodevelopment of premature neonates with invasive candidal infections. We retrospectively studied the outcomes for 25 premature neonates (birth weight, &lt;1,250 g) with candidemia or candidal meningitis (cases) and compared them with 25 neonates matched for birth weight (±100 g) and gestational age (±1 week) (controls). Durations of antibiotic therapy, artificial ventilation, invasive catheterizations, and hyperalimentation were longer for cases than for controls. Cases had a higher final grade of intraventricular hemorrhage than did controls (median: 3.0 vs. 2.5, respectively; P &lt; .05). Forty-four percent (11 of 25) of cases and 16% (4 of 25) of controls died (P &gt; .05), and 29% (4 of 14) of surviving cases and 14% (3 of 21) of controls were disabled (P &gt; .05). More cases had combined mortality and neurodevelopmental disabilities than did controls (60% vs. 28%, respectively; P &lt; .05). Use of invasive therapies should be minimized for premature neonates at risk for invasive candidal infection that is associated with adverse outcomes.</description><subject>Biological and medical sciences</subject><subject>Birth weight</subject><subject>Blood</subject><subject>Candida</subject><subject>Candida - isolation &amp; purification</subject><subject>Candidemia</subject><subject>Candidiasis - complications</subject><subject>Candidiasis - drug therapy</subject><subject>Candidiasis - epidemiology</subject><subject>Candidiasis - mortality</subject><subject>Case-Control Studies</subject><subject>Catheters</subject><subject>Clinical Articles</subject><subject>Demography</subject><subject>Dosage</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Premature, Diseases - drug therapy</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infant, Premature, Diseases - mortality</subject><subject>Infant, Very Low Birth Weight</subject><subject>Infants</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Meningitis, Fungal - complications</subject><subject>Meningitis, Fungal - drug therapy</subject><subject>Meningitis, Fungal - epidemiology</subject><subject>Meningitis, Fungal - mortality</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Mycoses</subject><subject>Mycoses of the nervous system</subject><subject>Newborns</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1DAUhSMEKqXALwDJC1SB1IDtxLEtsSkj6FTqAOJV1I11x76Zus1jsB1glvxzMppoWLKyz_0-nc3JsseMvmRUVa8EKyXjd7JDJgqZV0Kzu-OfCpWXqlD3swcx3lDKmKLiIDvQUlIm5GH2Z9a3awiQ_E8kn9PgNqSvyaIPCRqfNgQ6t01L77bJd-RjwBbSEJCcdzV0KZLnb3xI1-QS_eo6nZDX7IQLSlYvyC8_nmdjg3fYeiB9mBI0ZIGd71Y--fgwu1dDE_HR9B5lX9-9_TKb5xcfzs5npxe5LblIeeUcdWgtFxKcpLgUlIJEqyWqumY1R1miBQSlJWAlmJUUKsrrJRaCF7o4yo53vevQ_xgwJtP6aLFpoMN-iKbSWmhN2X9FJoUUpZb_RBv6GAPWZh18C2FjGDXbUcxulFF8OjUOyxbdXptWGPmziUO00NQBOuvjXuOFrBRXo_Zkp93E1Ic9LstqnHnbku-wjwl_7zGEW1PJQgoz_35lzsTVt0-X8_dmUfwFlgyrww</recordid><startdate>19980901</startdate><enddate>19980901</enddate><creator>Lee, Bonita E.</creator><creator>Cheung, Po-Yin</creator><creator>Robinson, Joan L.</creator><creator>Evanochko, Christene</creator><creator>Robertson, Charlene M. 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T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Study of Mortality and Morbidity in Premature Infants (Birth Weight, &lt;1,250 g) with Candidemia or Candidal Meningitis</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1998-09-01</date><risdate>1998</risdate><volume>27</volume><issue>3</issue><spage>559</spage><epage>565</epage><pages>559-565</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Little information is available on long-term neurodevelopment of premature neonates with invasive candidal infections. We retrospectively studied the outcomes for 25 premature neonates (birth weight, &lt;1,250 g) with candidemia or candidal meningitis (cases) and compared them with 25 neonates matched for birth weight (±100 g) and gestational age (±1 week) (controls). Durations of antibiotic therapy, artificial ventilation, invasive catheterizations, and hyperalimentation were longer for cases than for controls. Cases had a higher final grade of intraventricular hemorrhage than did controls (median: 3.0 vs. 2.5, respectively; P &lt; .05). Forty-four percent (11 of 25) of cases and 16% (4 of 25) of controls died (P &gt; .05), and 29% (4 of 14) of surviving cases and 14% (3 of 21) of controls were disabled (P &gt; .05). More cases had combined mortality and neurodevelopmental disabilities than did controls (60% vs. 28%, respectively; P &lt; .05). Use of invasive therapies should be minimized for premature neonates at risk for invasive candidal infection that is associated with adverse outcomes.</abstract><cop>Chicago, IL</cop><pub>The University Chicago Press</pub><pmid>9770157</pmid><doi>10.1086/514712</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Biological and medical sciences
Birth weight
Blood
Candida
Candida - isolation & purification
Candidemia
Candidiasis - complications
Candidiasis - drug therapy
Candidiasis - epidemiology
Candidiasis - mortality
Case-Control Studies
Catheters
Clinical Articles
Demography
Dosage
Human mycoses
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - drug therapy
Infant, Premature, Diseases - epidemiology
Infant, Premature, Diseases - mortality
Infant, Very Low Birth Weight
Infants
Infections
Infectious diseases
Medical sciences
Meningitis, Fungal - complications
Meningitis, Fungal - drug therapy
Meningitis, Fungal - epidemiology
Meningitis, Fungal - mortality
Morbidity
Mortality
Mycoses
Mycoses of the nervous system
Newborns
Pediatrics
Retrospective Studies
Risk Factors
Treatment Outcome
title Comparative Study of Mortality and Morbidity in Premature Infants (Birth Weight, <1,250 g) with Candidemia or Candidal Meningitis
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