Fungemia
Conditions
Keywords
Fungemia, fungal infection, susceptibility, antifungal
Brief summary
The aim of this study is to describe the epidemiology of fungal blood infections in Spain (with emphasis on the incidence, fungal species distribution and antifungal susceptibility). The study is to be performed in five big cities which represent different geographic areas: Barcelona, Bilbao, Madrid, Sevilla and Valencia.
Interventions
Non interventional study
Sponsors
Study design
Eligibility
Inclusion criteria
* Fungal isolate obtained from blood sample
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Describe fungemia epidemiology in Spain | 1 year | Recollection of demographic variables (age, gender and ethnic origin); clinical variables (background diseases, other coinfections, treatment received, etc) and microbiological information of the isolate. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Describe differences among cities and institutions | 1 year | Analyze results in function of the city and hospital where the isolate was obtained (5 cities in Spain and 29 participating hospitals) |
| Definition of risk factors | 1 year | Determine risk factors for: * bad clinical evolution * infection by a specific Candida species * fluconazole resistant isolate * fungemia persistency |
| Determination of the fungal isolates susceptibility to fluconazole, voriconazole, caspofungine, anidulafungine, micafungine and anfotericine B | 1 year | Analysis of resistant strains percentage according to the threshold established by CLSI to each specific antifungal |
| Correlation between fungemia with a diminished susceptibility fungal strain and clinical evolution | 1 year | Chi-square and Kaplan-Meier survival curves |
| Correlation between reference and commercial microbiological methods | 1 year | Comparison of results when a reference or a commercial fungal identification and antifungal susceptibility method is used. |
Countries
Spain