Title

Candidemia in children: Epidemiology, prevention and management.

Year of Publication

2018

Number of Pages

614-622

Date Published

2018 Sep

ISSN Number

1439-0507

Abstract

<p>Candidemia is the leading cause of invasive fungal infections in hospitalised children. The highest rates of candidemia have been recorded in neonates and infants &lt;1&nbsp;year of age. Candidemia is more frequent in neonates and young infants than in adults, and is associated with better clinical outcomes, but higher inpatient costs. Over the last 10&nbsp;years, a declining trend has been noted in the incidence of paediatric candidemia in the US and elsewhere due to the hospital-wide implementation of central-line insertion and maintenance bundles that emphasise full sterile barrier precautions, chlorhexidine skin preparation during line insertion, meticulous site and tubing care, and daily discussion of catheter necessity. Additional interventions aiming at reducing gut-associated candidemia are required in immunocompromised and critically ill children.</p>

DOI

10.1111/myc.12792

Alternate Title

Mycoses

PMID

29762868

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