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Table 2 Patient characteristics and incidence (episode/1000 admission)

From: A seven-year surveillance study of the epidemiology, antifungal susceptibility, risk factors and mortality of candidaemia among paediatric and adult inpatients in a tertiary teaching hospital in China

 

All patients

Child patients(0-16 years)

Adult patients(> 16 years)

P*

(n = 201)

100.0%

(n = 35)

17.4%

(n = 166)

82.6%

Age (median, range)

65 years

(1 day, 92 years)

1 day

(1 day,5 years)

61 years

(18 years, 92 years)

< 0.001

Gender (male:female)

114:87

22:13

92:74

0.420

Length of hospital stay(days)

36.9 ± 39.5

41.5 ± 20.9

30.6 ± 39.6

0.117

Underlying comorbidities (n, %)

 Gastrointestinal perforation

24 (11.9)

2 (5.7)

22(13.3)

0.211

 Respiratory dysfunctiona

58 (28.9)

3 (8.6)

55 (33.1)

0.004

 Pulmonary infection

100(49.8)

24 (68.6)

76(45.8)

0.014

 Cardiovascular disease

86 (42.8)

3(8.6)

83 (50.0)

< 0.001

 Neurological diseases

78 (38.8)

24(68.6)

54 (32.5)

< 0.001

 Gastrointestinal pathologyb

58(28.9)

2(5.7)

43 (25.9)

0.001

 Chronic/acute liver disease

49(24.4)

9(25.7)

40(24.1)

0.839

 Chronic/acute renal failurec

91(45.3)

9(25.7)

82 (49.4)

0.011

 Solid tumour

15(7.5)

0(0)

15(9.0)

0.065

 Haematological malignancy

11 (5.5)

2 (5.7)

9(5.4)

0.697

 Congenital malformations/syndromes

6(3.0)

3 (8.6)

3 (1.8)

< 0.001

 Diabetes mellitus

60 (29.9)

0(0)

60 (36.1)

< 0.001

 Hematologic (nonmalignant)

29 (14.4)

10 (28.6)

19 (11.4)

0.009

 HIV/AIDS

10 (5.0)

0(0)

10 (6.0)

0.136

 Severe trauma

17(8.5)

2 (5.7)

15 (9.0)

0.521

Risk factors (n, %)

 Presence of CVCd

77(38.3)

7(20.0)

70(42.2)

0.014

 Other invasive catheters

60(29.9)

5(14.3)

55(33.1)

0.027

 Mechanical ventilation

87(43.3)

21 (60.0)

66(39.8)

0.028

 Receipt of corticosteroidse

42 (20.9)

9(25.7)

33(19.9)

0.440

 Total parenteral nutrition

95(47.3)

18(51.4)

77(46.4)

0.587

 Malnutrition

55(27.4)

9(25.7)

46(27.7)

0.810

 Chemotherapy

20(10.0)

2 (5.7)

18(10.8)

0.357

 Hemodialysis

30(16.9)

0(0)

30(18.1)

0.006

 Abdominal surgeryf

31 (15.4)

0 (0)

31 (18.7)

0.005

 ICU/PICU/NICU

81(40.3)

35 (100.0)

46 (27.7)

< 0.001

 Neutropeniag

16(8.0)

0 (0)

16(9.6)

0.056

 Concomitant bacterial infections

110(54.7)

30 (85.7)

80 (48.2)

< 0.001

 Septic shock

39 (19.4)

3 (8.6)

36(21.7)

0.075

 Broad-spectrum antibiotics

179 (89.1)

35 (100.0)

144 (86.7)

0.022

 Treatment with antifungal agents

114 (56.7)

27(77.1)

87(52.4)

0.007

 C. albicans

81(40.3)

16(45.7)

65(39.2)

0.472

 C. glabrata

73(36.3)

18(51.4)

55(33.1)

0.041

 C. tropicalis

28(13.9)

0(0)

28(16.9)

0.009

 Death

41(20.4)

4(11.4)

37(22.3)

0.113

Incidence(n,episodes/1000 admissions)

 2013

14(0.20)

0(0.0)

14(0.24)

0.248

 2014

23(0.22)

1(0.09)

22(0.24)

0.507

 2015

29(0.27)

6(0.53)

23(0.24)

0.117

 2016

42(0.37)

12(1.07)

30(0.29)

0.001

 2017

38(0.32)

12(1.06)

26(0.24)

< 0.001

 2018

20(0.16)

3(0.21)

17(0.15)

0.480

 2019

35(0.26)

1(0.08)

34(0.27)

0.252

Mean annual incidence

201(0.26)

35(0.42)

166(0.24)

0.002

  1. *Statistical results of demographic characteristics of pediatric and adult patients
  2. a Includes the following diseases: chronic obstructive pulmonary disease and acute respiratory distress syndrome
  3. b Includes the following diseases: cholecystitis, pancreatitis, and peritonitis
  4. c Chronic/Acute renal failure is the permanent or sudden and often temporary loss of kidney function with N waste retention and hypourocrinia
  5. d CVC central venous catheter
  6. ea dose equivalent to the prednisone dosage of 0.3 mg/kg/day for at least 14 days
  7. f including: gastrointestinal perforations, severe acute pancreatitis and complex ventral hernia
  8. g Neutropenia is the absolute neutrophil count, that is, < 500 cells/μl