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Titolo:
FUNGAL FEEDING-LINE INFECTIONS - BEWARE THE EYES AND TEETH
Autore:
NIGHTINGALE JMD; SIMPSON AJ; TOWLER HMA; LENNARDJONES JE;
Indirizzi:
LEICESTER ROYAL INFIRM,DEPT GASTROENTEROL,INFIRM SQ LEICESTER LE1 5WWLEICS ENGLAND ST MARKS HOSP LONDON EC1V 2PS ENGLAND UNIV LONDON ST BARTHOLOMEWS HOSP & MED COLL LONDON EC1A 7BE ENGLAND MOORFIELDS EYE HOSP LONDON ENGLAND
Titolo Testata:
Journal of the Royal Society of Medicine
fascicolo: 5, volume: 88, anno: 1995,
pagine: 258 - 263
SICI:
0141-0768(1995)88:5<258:FFI-BT>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
RECEIVING PARENTERAL-HYPERALIMENTATION; HEMATOGENOUS CANDIDA ENDOPHTHALMITIS; INVASIVE CANDIDIASIS; HOSPITALIZED-PATIENTS; AMPHOTERICIN-B; DIAGNOSIS; SEPTICEMIA; FUNGEMIA; ANTIGEN; IMMUNOASSAY;
Keywords:
CANDIDA; PARENTERAL; NUTRITION; CATHETER-RELATED INFECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
J.M.D. Nightingale et al., "FUNGAL FEEDING-LINE INFECTIONS - BEWARE THE EYES AND TEETH", Journal of the Royal Society of Medicine, 88(5), 1995, pp. 258-263

Abstract

Twenty-four fungal feeding-line infections occurred in 17 patients during 1984-1992. Thirteen were receiving long-term home parenteral feeding and, in them, the first infection occurred after a median of 30 months (range 1-120) continuous feeding with a line that had been in situ for a median of 20 months (range 1-37). Four were receiving short-term feeding through a line that had been inserted 1-2 months previously. At the time of the first infection all patients were febrile and most were anaemic (15/16), however a leucocytosis was rare (three of 16). The fungi isolated were Candida albicans(6), Candida parapsilosis(5),Candida glabrata(2), Candida guillermondii(2) and other species (2). In 16 patients, the feeding-line was removed at the time of the first infection and no other treatment was given, and no other complicationsoccurred in eight (50%) of these. In 11, the line was reinserted a median of 7 days after removal (range 1-11). Four patients (24%) developed a Candida infection of the eye 1-8 weeks after the diagnosis, uveitis (2) and endophthalmitis (2) which, in one patient, led to complete blindness in one eye. Two patients had recurrent infections which began within a month of dental therapy. In one, the infections stopped after dental extractions and, in the other, after a dental clearance. An ophthalmoscopic examination should be performed in all patients with afungal feeding-line infection. Recurrent candidal infections may havea dental origin.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 13:11:06