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Non-albicans candidemia in cancer patients as an increasing health problem:A comprehensive review and meta-analysis

Asian Pacific Journal of Tropical Medicine 2022年第9期15卷 387-399页

作者： Aynaz Ghojoghi Maryam Erfaninejad Ehsan Ahmadpour Eisa Nazar Aleksandra Barac mahnaz fatahinia Department of Medical Mycology School of MedicineAhvaz Jundishapur University of Medical SciencesAhvazIran Infectious and Tropical Diseases Research Center Tabriz University of Medical SciencesTabrizIran Department of Biostatistics School of HealthMashhad University of Medical SciencesMashhadIran Clinic for Infectious and Tropical Diseases Clinical Centre of SerbiaBelgradeSerbia

Objective:To evaluate the prevalence of Candida species in cancer patients with candidemia around the world,and to identify related risk factors and their antifungal resistance,with an emphasis on non-albicans Candida species(NACs).Methods:The published papers related to the subject were systematically searched in databases of MEDLINE(including PubMed),Web of Science,Scopus,Science Direct,and Google Scholar between the 1st January 2000 and 21st April ***:Among the 4546 records,69 studies met the inclusion *** pooled prevalence of NACs in cancer patients with candidemia was 62%(95%CI 58%-67%;I2=94.85%,P=0.00).Based on type of cancer,the pooled prevalence of NACs in hematologic and solid cancer patients were 68%(95%CI 65%-70%)and 52%(95%CI 49%-54%),*** NACs,Candida(C.)parapsilosis was the most frequently isolated organism followed by *** and *** addition,the therapeutic usage of antibiotics was found as the most common risk factor,accounting for 85%(95%CI 81%-89%)and central venous catheter accounting for 69%(95%CI 62%-77%).Conclusions:The incidence of Candida bloodstream infections among cancer patients is a growing concern,especially when the etiologic agents of candidemia tend to shift towards NACs.

关键词： Candidemia Non-albicans Candida Cancer Epidemiology Systematic review Meta-analysis

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