Resistant Candida parapsilosis associated with long term fluconazole prophylaxis in an animal model

被引:26
作者
Yoder, BA [1 ]
Sutton, DA
Winter, V
Coalson, JJ
机构
[1] Univ Texas, Hlth Sci Ctr, Dept Med & Physiol, SW Fdn Biomed Res, San Antonio, TX 78285 USA
[2] Univ Texas, Hlth Sci Ctr, Dept Pathol, San Antonio, TX 78285 USA
关键词
fluconazole; Candida; resistance; neonate; baboon;
D O I
10.1097/01.inf.0000128777.22022.47
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We report an increased occurrence of fluconazole-resistant Candida parapsilosis after a 4-year period of antifungal prophylaxis in a premature animal neonatal intensive care unit. Although prevention of nosocomial fungal infections in premature infants is desirable, implementation of fluconazole prophylaxis should be undertaken with caution. Where such programs are in place, evaluation of fungal isolates for drug resistance should be considered.
引用
收藏
页码:687 / 688
页数:2
相关论文
共 11 条
[1]   Candida infections in the neonate [J].
Chapman, RL .
CURRENT OPINION IN PEDIATRICS, 2003, 15 (01) :97-102
[2]   Neonatal chronic lung disease in extremely immature baboons [J].
Coalson, JJ ;
Winter, VT ;
Siler-Khodr, T ;
Yoder, BA .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 160 (04) :1333-1346
[3]   Fluconazole prophylaxis against fungal colonization and infection in preterm infants [J].
Kaufman, D ;
Boyle, R ;
Hazen, KC ;
Patrie, JT ;
Robinson, M ;
Donowitz, LG .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (23) :1660-1666
[4]   Fluconazole for prophylaxis against candidal rectal colonization in the very low birth weight infant [J].
Kicklighter, SD ;
Springer, SC ;
Cox, T ;
Hulsey, TC ;
Turner, RB .
PEDIATRICS, 2001, 107 (02) :293-298
[5]  
National Committee for Clinical Laboratory Standards, 1997, M27A NAT COMM CLIN L
[6]   National epidemiology of mycoses survey:: A multicenter study of strain variation and antifungal susceptibility among isolates of Candida species [J].
Pfaller, MA ;
Messer, SA ;
Houston, A ;
Rangel-Frausto, MS ;
Wiblin, T ;
Blumberg, HM ;
Edwards, JE ;
Jarvis, W ;
Martin, MA ;
Neu, HC ;
Saiman, L ;
Patterson, JE ;
Dibb, JC ;
Roldan, CM ;
Rinaldi, MG ;
Wenzel, RP .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1998, 31 (01) :289-296
[7]   Practice guidelines for the treatment of candidiasis [J].
Rex, JH ;
Walsh, TJ ;
Sobel, JD ;
Filler, SG ;
Pappas, PG ;
Dismukes, WE ;
Edwards, JE .
CLINICAL INFECTIOUS DISEASES, 2000, 30 (04) :662-678
[8]   PHARMACOKINETICS OF FLUCONAZOLE IN VERY-LOW-BIRTH-WEIGHT INFANTS DURING THE 1ST 2 WEEKS OF LIFE [J].
SAXEN, H ;
HOPPU, K ;
POHJAVUORI, M .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 1993, 54 (03) :269-277
[9]   Prevalence and antifungal susceptibility of 442 Candida isolates from blood and other normally sterile sites:: Results of a 2-year (1996 to 1998) multicenter surveillance study in Quebec, Canada [J].
St-Germain, G ;
Laverdière, M ;
Pelletier, R ;
Bourgault, AM ;
Libman, M ;
Lemieux, C ;
Noel, G .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (03) :949-953
[10]   Late-onset sepsis in very low birth weight neonates: The experience of the NICHD Neonatal Research Network [J].
Stoll, BJ ;
Hansen, N ;
Fanaroff, AA ;
Wright, LL ;
Carlo, WA ;
Ehrenkranz, RA ;
Lemons, JA ;
Donovan, EF ;
Stark, AR ;
Tyson, JE ;
Oh, W ;
Bauer, CR ;
Korones, SB ;
Shankaran, S ;
Laptook, AR ;
Stevenson, DK ;
Papile, LA ;
Poole, WK .
PEDIATRICS, 2002, 110 (02) :285-291