Early-Onset Invasive Candidiasis in Extremely Low Birth Weight Infants: Perinatal Acquisition Predicts Poor Outcome Article Swipe
Michelle Barton
,
Alex Shen
,
Karel O’Brien
,
Joan Robinson
,
H. Dele Davies
,
Kim Simpson
,
Elizabeth Asztalos
,
Joanne M. Langley
,
Nicole Le Saux
,
Reginald S. Sauve
,
Anne Synnes
,
Ben Tan
,
Louis de Repentigny
,
Earl Rubin
,
Chuck Hui
,
Lajos Kovács
,
Yvonne Yau
,
Susan E. Richardson
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1093/cid/cix001
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1093/cid/cix001
Background. Neonatal invasive candidiasis (IC) presenting in the first week of life is less common and less well described than later-onset IC. Risk factors, clinical features, and disease outcomes have not been studied in early-onset disease (EOD, ≤7 days) or compared to late-onset disease (LOD, >7 days). Methods. All extremely low birth weight (ELBW, <1000 g) cases with IC and controls from a multicenter study of neonatal candidiasis enrolled from 2001 to 2003 were included in this study. Factors associated with occurrence and outcome of EOD in ELBW infants were determined. Results. Forty-five ELBW infants and their 84 matched controls were included. Fourteen (31%) ELBW infants had EOD. Birth weight <750 g, gestation <25 weeks, chorioamnionitis, and vaginal delivery were all strongly associated with EOD. Infection with Candida albicans, disseminated disease, pneumonia, and cardiovascular disease were significantly more common in EOD than in LOD. The EOD case fatality rate (71%) was higher than in LOD (32%) or controls (15%) (P = .0001). The rate of neurodevelopmental impairment and mortality combined was similar in EOD (86%) and LOD (72%), but higher than in controls (32%; P = .007). Conclusions. ELBW infants with EOD have a very poor prognosis compared to those with LOD. The role of perinatal transmission in EOD is supported by its association with chorioamnionitis, vaginal delivery, and pneumonia. Dissemination and cardiovascular involvement are common, and affected infants often die. Empiric treatment should be considered for ELBW infants delivered vaginally who have pneumonia and whose mothers have chorioamnionitis or an intrauterine foreign body.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/cid/cix001
- https://academic.oup.com/cid/article-pdf/64/7/921/11014269/cix001.pdf
- OA Status
- bronze
- Cited By
- 46
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2576674156
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2576674156Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/cid/cix001Digital Object Identifier
- Title
-
Early-Onset Invasive Candidiasis in Extremely Low Birth Weight Infants: Perinatal Acquisition Predicts Poor OutcomeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-01-04Full publication date if available
- Authors
-
Michelle Barton, Alex Shen, Karel O’Brien, Joan Robinson, H. Dele Davies, Kim Simpson, Elizabeth Asztalos, Joanne M. Langley, Nicole Le Saux, Reginald S. Sauve, Anne Synnes, Ben Tan, Louis de Repentigny, Earl Rubin, Chuck Hui, Lajos Kovács, Yvonne Yau, Susan E. RichardsonList of authors in order
- Landing page
-
https://doi.org/10.1093/cid/cix001Publisher landing page
- PDF URL
-
https://academic.oup.com/cid/article-pdf/64/7/921/11014269/cix001.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/cid/article-pdf/64/7/921/11014269/cix001.pdfDirect OA link when available
- Concepts
-
Medicine, Chorioamnionitis, Low birth weight, Case fatality rate, Pneumonia, Pediatrics, Birth weight, Pregnancy, Vaginal delivery, Gestation, Obstetrics, Internal medicine, Epidemiology, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
46Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6, 2024: 10, 2023: 4, 2022: 1, 2021: 8Per-year citation counts (last 5 years)
- References (count)
-
39Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.case | 147 |
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| abstract_inverted_index.with | 58, 81, 124, 127, 191, 201, 215 |
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| abstract_inverted_index.(31%) | 104 |
| abstract_inverted_index.(32%) | 156 |
| abstract_inverted_index.(32%; | 184 |
| abstract_inverted_index.(71%) | 150 |
| abstract_inverted_index.(86%) | 175 |
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| abstract_inverted_index.(LOD, | 45 |
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| abstract_inverted_index..007). | 187 |
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| abstract_inverted_index.delivery, | 218 |
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| abstract_inverted_index.considered | 236 |
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| institutions_distinct_count | 18 |
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