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Increasing Incidence of Candidemia: Results from a 20-Year Nationwide Study in Iceland

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TLDR
The national import of fluconazole increased approximately fourfold during the second half of the study, but increased resistance to this agent was not observed.
Abstract
A nationwide study on candidemia was conducted in Iceland from 1980 to 1999. The annual incidence increased from 1.4 cases/100,000 inhabitants/year between 1980 and 1984 to 4.9 cases/100,000 inhabitants/year between 1995 and 1999 (P < 0.0001). Candidemia episodes at university hospitals increased from 0.15/1,000 admissions to 0.55/1,000 admissions (P < 0.0001). Candida albicans was the predominant species responsible (64.4%). The national import of fluconazole increased approximately fourfold during the second half of the study, but increased resistance to this agent was not observed.

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Epidemiology of Invasive Candidiasis: a Persistent Public Health Problem

TL;DR: Improved non-culture-based diagnostics are needed to expand the potential for preemptive (or early directed) therapy and improve diagnostic, preventive, and therapeutic strategies is necessary to reduce the considerable morbidity and mortality associated with IC.
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Guidelines for Treatment of Candidiasis

TL;DR: This work presents a novel and scalable approach that allows for real-time decision-making about whether or not to vaccinate children against infection by a single infectious agent.
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Epidemiology of Candidemia in Brazil: a Nationwide Sentinel Surveillance of Candidemia in Eleven Medical Centers

TL;DR: Antifungal resistance was rare, but correlation between fluconazole and voriconazole MICs suggests cross-resistance may occur, and shows the substantial morbidity and mortality of candidemia in Brazil.
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Global trends in the distribution of Candida species causing candidemia

TL;DR: Only five species account for 92% of cases of candidemia, but considerable differences are found between the number of cases caused by C. glabrata and C. parapsilosis, and the distribution varies in population-based studies conducted in different geographical areas.
References
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National Committee for Clinical Laboratory Standards.

Erika Bruck
- 01 Jan 1980 - 
TL;DR: Many members of the Academy of Pediatrics seem to be generally unaware of the fact that the Academy has participated for ten years in a very interesting and valuable organization, the National Committee for Clinical Laboratory Standards (NCCLS).
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Secular Trends in the Epidemiology of Nosocomial Fungal Infections in the United States, 1980–1990

TL;DR: Fungi are emerging as important nosocomial pathogens and control efforts should target fungal infections, especially fungemia, which has increased at all four major anatomic sites of infection.
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Secular trends in nosocomial primary bloodstream infections in the United States, 1980–1989

TL;DR: More than 25,000 primary bloodstream infections (BSIs) were identified by 124 National Nosocomial Infections Surveillance System hospitals performing hospital-wide surveillance during the 10-year period 1980-1989.
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The Epidemiology of Hematogenous Candidiasis Caused by Different Candida Species

TL;DR: There has been a substantial shift in the epidemiology of hematogenous candidiasis caused by different Candida species in recent years, and fluconazole appears to be playing a major role in this observed shift.
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