Candida albicans outbreak associated with total parenteral nutrition in the neonatal unit

dc.authorid101949en_US
dc.contributor.authorGüdücüoğlu, Hüseyin
dc.contributor.authorGültepe, Bilge Sümbül
dc.contributor.authorOtlu, Barış
dc.contributor.authorBektaş, Hava
dc.contributor.authorYıldırım, Özge
dc.contributor.authorTuncer, Oğuz
dc.contributor.authorBerktaş, Mustafa
dc.date.accessioned2017-07-10T07:33:50Z
dc.date.available2017-07-10T07:33:50Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: The most frequently isolated fungi in patients using TPN belongs to the Candida genus. Various infections including venous catheter infections, fungemia, endocarditis and ophthalmitis may be encountered. Objective: Upon growth of Candida in the blood cultures from the pediatric (neonatal) unit of our hospital, a surveillance was performed in this unit and involving the health care workers. Clonal relationships of the isolates were investigated with molecular tests. Methods: Blood samples obtained from the patients in pediatric neonatal unit were studied with automatized blood culture [BacT/Alert (Bio Mérioux, France)]. Yeast isolates from environmental surveillance cultures (TPN solutions, hands of healthcare personnel, étagère, etc) and patients were identified as C. albicans with conventional methods and ID 32 C and ATBTM Fungus 3 (Biomerieux, France) kits. Clonal similarity was determined by using AP-PCR as initial method and we have also typified all strains by the method of REP-PCR (diversilab system,bioMérieux). Finally; Pulsed Field Gel Electrophoresis (PFGE) was used for confirmation. Results: C. albicans was isolated in blood cultures of seven patients. Similar antifungal susceptibility patterns were observed in all isolates. AP-PCR and REP-PCR showed that the C. albicans isolates grown in the TPN solution and from the patients’ blood cultures were clonally same strains. PFGE analysis further confirmed this clonality. Conclusion: According to results of the molecular methods, we thought that a C. albicans outbreak had occurred in the neonatal pediatric unit, due to contamination of TPN solution.en_US
dc.identifier.citationGüdücüoğlu, H. Gültepe, B. S. Otlu, B. Bektaş, H. Yıldırım, Ö. Tuncer, O. Berktaş, M. (2016). Candida albicans outbreak associated with total parenteral nutrition in the neonatal unit. Indian Journal of Medical Microbiology, 34(2), 202–207.en_US
dc.identifier.doi10.4103/0255-0857.180303en_US
dc.identifier.endpage207en_US
dc.identifier.issn0255-0857
dc.identifier.issue2en_US
dc.identifier.startpage202en_US
dc.identifier.urihttp://www.ijmm.org/text.asp?2016/34/2/202/180303
dc.identifier.urihttps://hdl.handle.net/11616/7351
dc.identifier.volume34en_US
dc.language.isoenen_US
dc.publisherIndian Journal of Medical Microbiologyen_US
dc.relation.ispartofIndian Journal of Medical Microbiologyen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCandida albicansen_US
dc.subjectFungal infectionen_US
dc.subjectNeonatal uniten_US
dc.subjectParenteral nutritionen_US
dc.titleCandida albicans outbreak associated with total parenteral nutrition in the neonatal uniten_US
dc.typeArticleen_US

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