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Epidemiology of fungaemia in Sweden: A nationwide retrospective observational survey
Karolinska Inst, Div Clin Microbiol, Dept Lab Med, Stockholm, Sweden.
Karolinska Inst, Div Clin Microbiol, Dept Lab Med, Stockholm, Sweden;Karolinska Univ Hosp, Dept Clin Microbiol, Stockholm, Sweden.
Dept Clin Microbiol, Div Lab Med, Lund, Sweden.
Univ Gothenburg, Sahlgrenska Acad, Dept Infect Dis, Gothenburg, Sweden.
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2018 (English)In: Mycoses (Berlin), ISSN 0933-7407, E-ISSN 1439-0507, Vol. 61, no 10, p. 777-785Article in journal (Refereed) Published
Abstract [en]

ObjectivesTo identify the epidemiology and antifungal susceptibilities of Candida spp. among blood culture isolates to identify the epidemiology and antifungal susceptibilities of Candida spp. among blood culture isolates in Sweden. MethodsThe study was a retrospective, observational nationwide laboratory-based surveillance for fungaemia and fungal meningitis and was conducted from September 2015 to August 2016. ResultsIn total, 488 Candida blood culture isolates were obtained from 471 patients (58% males). Compared to our previous study, the incidence of candidaemia has increased from 4.2/100000 (2005-2006) to 4.7/100000 population/year (2015-2016). The three most common Candida spp. isolated from blood cultures were Candida albicans (54.7%), Candida glabrata (19.7%) and species in the Candida parapsilosis complex (9.4%). Candida resistance to fluconazole was 2% in C.albicans and between 0% and 100%, in non-albicans species other than C.glabrata and C.krusei. Resistance to voriconazole was rare, except for C.glabrata, C.krusei and C.tropicalis. Resistance to anidulafungin was 3.8% while no Candida isolate was resistant to amphotericin B. ConclusionsWe report an overall increase in candidaemia but a minor decrease of C.albicans while C.glabrata and C.parapsilosis remain constant over this 10-year period.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 61, no 10, p. 777-785
Keywords [en]
antifungal susceptibility, Candida, candidaemia, Cryptococcus, fungaemia epidemiology, fungal meningitis epidemiology, incidence
National Category
Microbiology in the medical area Infectious Medicine
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URN: urn:nbn:se:uu:diva-363417DOI: 10.1111/myc.12816ISI: 000445333300010PubMedID: 29920785OAI: oai:DiVA.org:uu-363417DiVA, id: diva2:1257012
Available from: 2018-10-18 Created: 2018-10-18 Last updated: 2018-10-18Bibliographically approved

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