Health Care : Current Reviews

CANDIDEMIA: A REVIEW OVER 5 YEARS AT A 300 BEDS MILITARY HOSPITAL (SERVING MILITARY PERSONNEL AND THEIR FAMILIES) IN THE UNITED ARAB EMIRATES

8^th World Congress on Healthcare & Medical Tourism

November 17-18, 2016 | Dubai UAE

Ahamad Kanaan A. Uwaydah, Abdel maksoud, Ahmed Atta and Ayesha Al Qasimi

Zayed Hospital, Abu Dhabi, UAE

Scientific Tracks Abstracts: Health Care: Current Reviews

Abstract:

Background: Candida species(C. Species) are increasigly isolated from blood cultures (1) being the fourth most common blood culture isolate in recent years. Material/methods: Retrospective review of the microbiology laboratoryrecords, for the period from 1st January 2010 till end of December 2014was carried out. Results: Ninety three episodes were identified. C. parapsilosis was the most common isolate (30) followed by tropicalis (29) then albicans (16 ), and glabrata (12) â?¢ C. albicans, C. tropicalis and C. glabrata were sensitive to Fluconazole in100%, 100% and 91.6%, respectively. â?¢ C. parapsilosis was sensitive to fluconazole in only 21.4%(6 isolates) and intermediate in (78.6%) 22 isolates. â?¢ Central venous access was the documented source of candidemia in 39.7% (37 episodes). â?¢ C parapsilosis accounted for (16) of them followed by albicans (10 ), tropicalis (9) and kruseii (2) â?¢ Candidemia trends changed during 2014 as new species never isolated before emerged, such as Krusei( 2), Guilliermondii (1), Lusitanii (1) and others( 2). Conclusions: Non albicans candida has outnumbered albicans as blood stream isolates in the past 5 yearswith candida parapsillosis being the most prevalent isolate. In view of the unusual sensitivity pattern of C.parapsillosis and the emergence of new C.species prospective studies are required to evaluate candidemia riskfactors, especially central lines use and antifungal treatment patterns in order to formulate appropriate preventive and therapeutic recommendations.

Biography :

Ahamad Kanaan A. Uwaydah graduated from the American University of Beirut Lebanon in 1981and pursued residency in internal medicine and fellowship in infectious diseases at Wayne State University affiliated hospitals USA.He is certified by the American Board of Internal Medicine as well as Infectious Diseases. He is a fellow of the American College of Physicians an member of the Infectious Diseases Society of America .Post graduation he joined King Fahd University in Saudi Arabia as assistant professor of medicine and infectious diseases. After that he joined Hamad Medical Center in Qatar for 4 years before returning to clinical practice in Western Pennsylvania. He served as infection control program director at Uniontown hospital. He joined Zayed Military Hospital Abu Dhabi in December 1996 as consultant internal medicine and infectious diseases. Currently he is consultant and head infectious diseases section at ZMH.

Email: awaidaak@yahoo.com