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Breakthrough Candidemia in Patients with Cancer Differs from De Novo Candidemia in Host Factors and Candida Species But Not Intensity

Published online by Cambridge University Press:  02 January 2015

Dimitrios P. Kontoyiannis ,
Bhavanandra T. Reddy ,
Hend Hanna ,
Gerald P. Bodey ,
Jeffrey Tarrand  and
Issam I. Raad
Dimitrios P. Kontoyiannis*
Affiliation:
The University of Texas M.D. Anderson Cancer Center, Houston, Texas
Bhavanandra T. Reddy
Affiliation:
The University of Texas M.D. Anderson Cancer Center, Houston, Texas
Hend Hanna
Affiliation:
The University of Texas M.D. Anderson Cancer Center, Houston, Texas
Gerald P. Bodey
Affiliation:
The University of Texas M.D. Anderson Cancer Center, Houston, Texas
Jeffrey Tarrand
Affiliation:
The University of Texas M.D. Anderson Cancer Center, Houston, Texas
Issam I. Raad
Affiliation:
The University of Texas M.D. Anderson Cancer Center, Houston, Texas
*
Department of Infectious Diseases, Infection Control & Employee Health, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 402, Houston, Texas
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Abstract

Objectives:

To evaluate the risk factors associated with breakthrough candidemia in patients with cancer and to compare them with those of de novo candidemia in this patient population. DESIGN: Retrospective case series of 120 episodes of candidemia, 90 de novo and 30 breakthrough candidemias.

Setting:

University-affiliated, tertiary-care cancer center in Houston, Texas.

Patients:

All patients with cancer who acquired candidemia between January 1993 and December 1998 were included if they had non-catheter-related candidemia and information about quantitative blood cultures.

Results:

Although less frequent, breakthrough candidemia was seen more often in neutropenic patients with leukemia. The intensity of breakthrough candidemia was comparable to that of de novo candidemia. Most (70%) of the breakthrough candidemias were due to Candida glabrata or C. krusei.

Conclusions:

In breakthrough candidemia, the same risk factors seen in de novo candidemia were encountered, although more frequently. C. glabrata and C. krusei are the leading causes of breakthrough candidemia in patients with cancer.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 23 , Issue 9 , September 2002 , pp. 542 - 545
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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