Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors

Q2

Autores:
Vargas-Espíndola, Luz Alejandra
Cuervo-Maldonado, Sonia I.
Enciso-Olivera, José L.
Gómez-Rincón, Julio C.
Jiménez-Cetina, Leydy
Sánchez-Pedraza, Ricardo
García-Guzmán, Katherine
López-Mora, María José
Álvarez-Moreno, Carlos A.
Cortés, Jorge Alberto
Garzon, Javier
Martínez Vernaza, Samuel
Sierra-Parada, Claudia R.
Murillo-Sarmiento, Bryan A.
Tipo de recurso:
Article of journal
Fecha de publicación:
2023
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/65371
Acceso en línea:
https://www.mdpi.com/2309-608X/9/4/400
http://hdl.handle.net/10554/65371
https://doi.org/10.3390/jof9040400
Palabra clave:
Candida
Fungemia
Hematologic malignancy
Candidemia
Leukemia
Lymphoma
Myeloma
Mortality
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_6e2b37890744c7becf3fe92e5b8db210
oai_identifier_str oai:repository.javeriana.edu.co:10554/65371
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
title Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
spellingShingle Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
Candida
Fungemia
Hematologic malignancy
Candidemia
Leukemia
Lymphoma
Myeloma
Mortality
title_short Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
title_full Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
title_fullStr Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
title_full_unstemmed Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
title_sort Fungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk Factors
dc.creator.fl_str_mv Vargas-Espíndola, Luz Alejandra
Cuervo-Maldonado, Sonia I.
Enciso-Olivera, José L.
Gómez-Rincón, Julio C.
Jiménez-Cetina, Leydy
Sánchez-Pedraza, Ricardo
García-Guzmán, Katherine
López-Mora, María José
Álvarez-Moreno, Carlos A.
Cortés, Jorge Alberto
Garzon, Javier
Martínez Vernaza, Samuel
Sierra-Parada, Claudia R.
Murillo-Sarmiento, Bryan A.
dc.contributor.author.none.fl_str_mv Vargas-Espíndola, Luz Alejandra
Cuervo-Maldonado, Sonia I.
Enciso-Olivera, José L.
Gómez-Rincón, Julio C.
Jiménez-Cetina, Leydy
Sánchez-Pedraza, Ricardo
García-Guzmán, Katherine
López-Mora, María José
Álvarez-Moreno, Carlos A.
Cortés, Jorge Alberto
Garzon, Javier
Martínez Vernaza, Samuel
Sierra-Parada, Claudia R.
Murillo-Sarmiento, Bryan A.
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Infectología
dc.contributor.corporatename.none.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Interna.
dc.contributor.javerianateacher.none.fl_str_mv Garzon, Javier
dc.subject.keyword.spa.fl_str_mv Candida
Fungemia
Hematologic malignancy
Candidemia
Leukemia
Lymphoma
Myeloma
Mortality
topic Candida
Fungemia
Hematologic malignancy
Candidemia
Leukemia
Lymphoma
Myeloma
Mortality
description Q2
publishDate 2023
dc.date.accessioned.none.fl_str_mv 2023-08-31T16:21:16Z
dc.date.available.none.fl_str_mv 2023-08-31T16:21:16Z
dc.date.created.none.fl_str_mv 2023-03-24
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
format http://purl.org/coar/resource_type/c_6501
dc.identifier.spa.fl_str_mv https://www.mdpi.com/2309-608X/9/4/400
dc.identifier.issn.spa.fl_str_mv 2309-608X
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/65371
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.3390/jof9040400
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://www.mdpi.com/2309-608X/9/4/400
http://hdl.handle.net/10554/65371
https://doi.org/10.3390/jof9040400
identifier_str_mv 2309-608X
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationendpage.spa.fl_str_mv 14
dc.relation.ispartofjournal.spa.fl_str_mv Journal of Fungi
dc.relation.citationvolume.spa.fl_str_mv 9
dc.relation.citationissue.spa.fl_str_mv 4
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.spatial.spa.fl_str_mv Colombia
dc.coverage.temporal.spa.fl_str_mv 2012-2019
dc.coverage.city.spa.fl_str_mv Bogotá (Colombia)
institution Pontificia Universidad Javeriana
bitstream.url.fl_str_mv http://repository.javeriana.edu.co/bitstream/10554/65371/2/license.txt
http://repository.javeriana.edu.co/bitstream/10554/65371/1/Fungemia%20in%20Hospitalized%20Adult%20Patients%20with%20Hematological.pdf
http://repository.javeriana.edu.co/bitstream/10554/65371/3/Fungemia%20in%20Hospitalized%20Adult%20Patients%20with%20Hematological.pdf.jpg
bitstream.checksum.fl_str_mv 2070d280cc89439d983d9eee1b17df53
850a6afe77480537003571d3d149f325
b51ccb174018cd14397c8fb9aa7c3e3b
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional - Pontificia Universidad Javeriana
repository.mail.fl_str_mv repositorio@javeriana.edu.co
_version_ 1811671211320541184
spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Vargas-Espíndola, Luz AlejandraCuervo-Maldonado, Sonia I.Enciso-Olivera, José L.Gómez-Rincón, Julio C.Jiménez-Cetina, LeydySánchez-Pedraza, RicardoGarcía-Guzmán, KatherineLópez-Mora, María JoséÁlvarez-Moreno, Carlos A.Cortés, Jorge AlbertoGarzon, JavierMartínez Vernaza, SamuelSierra-Parada, Claudia R.Murillo-Sarmiento, Bryan A.Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. InfectologíaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Interna.Garzon, JavierColombia2012-2019Bogotá (Colombia)2023-08-31T16:21:16Z2023-08-31T16:21:16Z2023-03-24https://www.mdpi.com/2309-608X/9/4/4002309-608Xhttp://hdl.handle.net/10554/65371https://doi.org/10.3390/jof9040400instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengFungemia in Hospitalized Adult Patients with Hematological Malignancies: Epidemiology and Risk FactorsArtículo de revistahttp://purl.org/coar/resource_type/c_6501Q2Q1Pacientes con Neoplasias malignas hematológicasPacientes con FungemiaFungemia in hematologic malignancies (HM) has high mortality. This is a retrospective cohort of adult patients with HM and fungemia between 2012 and 2019 in institutions of Bogotá, Colombia. The epidemiological, clinical, and microbiological characteristics are described, and risk factors related to mortality are analyzed. One hundred five patients with a mean age of 48 years (SD 19.0) were identified, 45% with acute leukemia and 37% with lymphomas. In 42%, the HM was relapsed/refractory, 82% ECOG > 3, and 35% received antifungal prophylaxis; 57% were in neutropenia, with an average duration of 21.8 days. In 86 (82%) patients, Candida spp. was identified, and other yeasts in 18%. The most frequent of the isolates were non-albicans Candida (61%), C. tropicalis (28%), C. parapsilosis (17%), and C. krusei (12%). The overall 30-day mortality was 50%. The survival probability at day 30 in patients with leukemia vs. lymphoma/multiple myeloma (MM0 group was 59% (95% CI 46–76) and 41% (95% CI 29–58), p = 0.03, respectively. Patients with lymphoma or MM (HR 1.72; 95% CI 0.58–2.03) and ICU admission (HR 3.08; 95% CI 1.12–3.74) were associated with mortality. In conclusion, in patients with HM, non-albicans Candida species are the most frequent, and high mortality was identified; moreover, lymphoma or MM and ICU admission were predictors of mortality.https://orcid.org/0000-0001-6396-3267https://orcid.org/0000-0001-5363-5729Revista Internacional - IndexadaA1NoCandidaFungemiaHematologic malignancyCandidemiaLeukemiaLymphomaMyelomaMortality114Journal of Fungi94LICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/65371/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessORIGINALFungemia in Hospitalized Adult Patients with Hematological.pdfFungemia in Hospitalized Adult Patients with Hematological.pdfArtículoapplication/pdf847427http://repository.javeriana.edu.co/bitstream/10554/65371/1/Fungemia%20in%20Hospitalized%20Adult%20Patients%20with%20Hematological.pdf850a6afe77480537003571d3d149f325MD51open accessTHUMBNAILFungemia in Hospitalized Adult Patients with Hematological.pdf.jpgFungemia in Hospitalized Adult Patients with Hematological.pdf.jpgIM Thumbnailimage/jpeg12623http://repository.javeriana.edu.co/bitstream/10554/65371/3/Fungemia%20in%20Hospitalized%20Adult%20Patients%20with%20Hematological.pdf.jpgb51ccb174018cd14397c8fb9aa7c3e3bMD53open access10554/65371oai:repository.javeriana.edu.co:10554/653712024-01-11 11:02:36.171Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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