Active surveillance for candidemia, Australia

S Chen; M Slavin; Q Nguyen; D Marriott; EG Playford; D Ellis; T Sorrell; J McBride; C Coulter; J McCormack; K Walmsley; D Looke; B Johnson; G Nimmo; D Drummond; R Forgan-Smith; E Preston; A Allworth; J Faoagali; N Gerns; J Botes; S Cherian; J Robson; R Vohra; R Norton; G O'Kane; D Robb; T Gottlieb; I Chambers; D DeWit; M Carroll; P Dobson; J Ferguson; S Graves; L Tierney; F Jozwiak; R Munro; V Tomasotos; R Pickles; J Holland; F Groenwald; K Hale; M Watson; R Vaz; R Hardiman; C Baleriola; S Ryan; R Pritchard; K Weeks; R Benn; N Adams; R Lawrence; P Taylor; S Lindstrom; J Harkness; P Palasanthrian; R Grant; R McPetrie; R Johnson; C Halliday; K Maszewska; OC Lee; W Meyer; N Dennis; P Newton; C Franklin; O Morrisey; D Spelman; S Wesselingh; B Speed; J Hellsten; B Mayall; J Russell; S Broughton; I Woolley; S Coloe; A Sherman; T Korman; S Graves; M Huysmans; A Sherman; D Gordon; K Rowlands; D Shaw; W Ferguson; B Ritchie; R Handke; M Beaman; A Chiam; J McCarthy; C Heath; S Altmann; I Arthur; D Speers; E Cox; L Cooley; A McGregor; B Currie; G Lum; D Fisher

Journal article

Active surveillance for candidemia, Australia

S Chen, M Slavin, Q Nguyen, D Marriott, EG Playford, D Ellis, T Sorrell, J McBride, C Coulter, J McCormack, K Walmsley, D Looke, B Johnson, G Nimmo, D Drummond, R Forgan-Smith, E Preston, A Allworth, J Faoagali, N Gerns Show all

Emerging Infectious Diseases | CENTERS DISEASE CONTROL & PREVENTION | Published : 2006

DOI: 10.3201/eid1210.060389

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Abstract

Population-based surveillance for candidemia in Australia from 2001 to 2004 identified 1,095 cases. Annual overall and hospital-specific incidences were 1.81/100,000 and 0.21/1,000 separations (completed admissions), respectively. Predisposing factors included malignancy (32.1%), indwelling vascular catheters (72.6%), use of antimicrobial agents (77%), and surgery (37.1%). Of 919 episodes, 81.5% were inpatient healthcare associated (IHCA), 11.6% were outpatient healthcare associated (OHCA), and 6.9% were community acquired (CA). Concomitant illnesses and risk factors were similar in IHCA and OHCA candidemia. IHCA candidemia was associated with sepsis at diagnosis (p<0.001), death ≤30 days af..

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