Invasive candidiasis: An overview from Taiwan
Journal
Journal of the Formosan Medical Association
Journal Volume
108
Journal Issue
6
Pages
443-451
Date Issued
2009
Author(s)
Abstract
Invasive candidiasis has emerged as an important nosocomial infection, especially in critically ill patients. We review the epidemiology of invasive candidiasis with an emphasis on data from Taiwan. An increasing incidence of candidemia became apparent from 1980 to the end of the 1990s, followed by relative stability. Crude mortality rates of patients with candidemia were in the range of 35% to 60%. Candida albicans remains the predominant cause of invasive candidiasis in Taiwan and accounts for more than 50% of all cases. Candida tropicalis, Candida glabrata and Candida parapsilosis are the three most common non-albicans Candida species that cause invasive candidiasis. The above four Candida species account for more than 90% of invasive candidiasis in Taiwan. Overall, invasive Candida isolates have remained highly susceptible to fluconazole (> 90% susceptibility) over the past two decades. However, periodic surveillance is needed to monitor antifungal resistance because reduced fluconazole susceptibility in non-albicans Candida is not an uncommon trend. Voriconazole and echinocandins continue to exhibit excellent in vitro activity against invasive Candida isolates. ?2009 Elsevier & Formosan Medical Association.
SDGs
Other Subjects
amphotericin B; anidulafungin; antifungal agent; caspofungin; echinocandin; fluconazole; itraconazole; micafungin; posaconazole; voriconazole; antibiotic resistance; Candida albicans; Candida glabrata; Candida parapsilosis; Candida tropicalis; candidemia; human; incidence; invasive candidiasis; minimum inhibitory concentration; mortality; nonhuman; review; Taiwan
Type
review