BACKGROUND: Candidemia is an important health problem in immunocompromised patients with an epidemiology varying with region, period and patient population involved.
OBJECTIVES: The occurrence of candidemia and the associated species distribution over a 12-year period at a large tertiary care centre in Belgium were analysed. The trend in incidence in the intensive care units (ICUs) and non-ICUs was investigated as well as the influence of antifungal exposure on the species distribution.
PATIENTS/METHODS: Candidemia incidence was expressed per 10,000 patient days (PD). Epidemiological parameters and antifungal consumption data were extracted from the hospital database and delivered by the hospital pharmacy, respectively.
RESULTS: From 2004 until 2015, 865 candidemia episodes occurred in 826 patients at the University Hospitals Leuven. Candida albicans (59%) remained the most important cause of candidemia, followed by C. glabrata (22.4%) and C. parapsilosis (8%). The mean incidence in the whole hospital was 1.48 per 10,000 PD. The incidence in ICUs increased reaching up to 10.7 per 10,000 PD whereas in the non-ICUs, the incidence decreased. Prior exposure to fluconazole and echinocandins was associated with candidemia caused by less susceptible species.
CONCLUSIONS: Candidemia incidence increased in the whole hospital, driven by ICUs. Surveillance of candidemia epidemiology on a local scale is of high value to guide empirical treatment strategies. This article is protected by copyright. All rights reserved.
