Research Article

Epidemiology and Changes in Patient-Related Factors from 1997 to 2009 in Clinical Yeast Isolates Related to Dermatology, Gynaecology, and Paediatrics

Table 2

Isolation rates (number/%) of DGP-associated yeast species in relation to their origin (clinical speciality and specimen), which have been recovered during the multicenter studies from 1998 to 2008.

Isolate origin Frequency (total = 1,862) Dermatology, gynaecology, and paediatrics-associated clinical yeast species, isolated during the multicentre studies from 1998 to 2008
Candida albicans Candida dubliniensis Candida glabrata Candida inconspicua Candida parapsilosis Candida tropicalis Other Candida spp. Clavispora lusitaniae Debaromyces hansenii Geotrichum candidum Issatchenkia orientalis Kluyveromyces marxianus Magnusiomyces capitatus Meyerozyma guilliermondii Pichia spp. Saccharomyces cerevisiae Trichomonascus ciferrii Yarrowia lipolytica Cryptococcus neoformans Trichosporon spp.
(%)84015266512113343*2842118256337412474
(45.1)(0.8)(14.3)(0.3)(6.5)(7.1)(2.3)(1.5)(0.2)(0.1)(6.3)(1.3)(0.3)(1.8)(0.4)(2.2)(0.1)(0.2)(0.4)(0.2)

Paediatrics767 (41.2)358 (47)10 (1)108 (14)1 (0.1)46 (6)91 (12)39 (5)15 (2)1 (0.1)058 (8)13 (2)4 (0.5)6 (0.8)5 (0.7)3 (0.4)01 (0.1)4 (0.5)4 (0.5)
Gynaecology578 (31.0)321 (56)099 (17)4 (0.7)12 (2)18 (3)32 (6)*7 (1)1 (0.2)2 (0.4)37 (6)8 (1)00035 (6)02 (0.4)00
Dermatology372 (20.0)83 (22)5 (1)33 (9)058 (16)7 (2)3 (0.8)2 (0.5)012 (3)3 (0.8)2 (0.5)26 (7)2 (0.5)1 (0.3)2 (0.5)1 (0.3)3 (1)0
ICU Paediatrics127 (6.8)70 (55)021 (17)04 (3)15 (12)1 (0.8)1 (0.8)0011 (9)1 (0.8)01 (0.8)02 (2)0000
ICU Gynaecology13 (0.7)5 (38)05 (38)01 (8)1 (8)01 (8)000000000000
ICU Dermatology5 (0.3)3 (60)00001 (20)01 (20)000000000000
Sterile fluid204 (11.0)109 (53)2 (1)28 (14)013 (6)24 (12)1 (0.5)7 (3)009 (4)3 (2)1 (0.5)002 (1)005 (3)0
Blood culture138 (7)66 (48)1 (0.7)29 (21)013 (9)13 (9)01 (0.7)1 (0.7)010 (7)000000000
Catheter31 (1.7)22 (71)02 (7)05 (16)1 (3)00001 (3)000000000
Aspirate19 (1.0)9 (47)01 (5)003 (16)3 (16)00002 (11)0001 (1)005 (1)0
Device4 (0.2)2 (50)01 (25)0000000001 (25)0000000
Material, dermatologic228 (12.2)30 (13)00035 (16)0002 (1)000015 (11)000000
Material, gynaecologic146 (7.8)88 (61)037 (26)1 (1)5 (4)6 (4)00003 (2)00004 (3)01 (1)00
Material, solid111 (6.0)45 (40)09 (8)09 (8)6 (6)1 (1)0003 (3)003 (3)1 (1)3 (3)001 (1)0
Urine21 (1.1)9 (43)03 (14)01 (5)001 (5)003 (14)4 (19)00000000
Stool20 (1.1)13 (65)06 (30)00000001 (5)000000000
Swabs, paediatric460 (24.7)214 (47)7 (2)66 (14)011 (2)68 (15)5 (1)7 (2)0055 (12)6 (1)3 (1)4 (1)5 (1)3 (1)01 (0.2)04 (1)
Swabs, gynaecologic364 (19.6)189 (52)055 (15)3 (1)7 (2)6 (2)1 (0.3)8 (2)02 (1)26 (7)7 (2)00027 (7)01 (0.3)00
Swabs, dermatologic116 (6.2)44 (38)5 (4)21 (18)022 (19)6 (5)2 (2)4 (3)007 (6)02 (2)1 (1)1 (1)1 (1)01 (1)00

Other Candida spp.: C. maritima, C. membranifaciens, C. sake, and Candida africana; Pichiaspp.: P. cactophila, P. fermentans, and P. norvegensis; Trichosporon spp.: T. asahii and T. mucoides.
Aspirate: bursa, limbic, pericardial, transtracheal, pus, and pleura.
Catheter: indwelling, urine, vascular, venereal, ports, and anaesthetic tube.
Sterile fluid: sterile body fluids, liquor, bile, dialysates, drainage, BAL, tracheal secrets, pleura, lachrymal, synovial, and serum, except blood and urine.
Solid (sterile) material: tissues/lung tissue, bone-marrow, throat discharge/sputum, abscess, spleen, bone, liver, stomach, and ear.
Device: contact lenses, heart valves, stents, pacemakers, and artificial joints.
Dermatological material: skin, nails, hairs, dandruff, and scales.
Gynaecological material: scrapings, genital-, prostate secrets, and ejaculate.
Urine: mid-stream, punctuate, and catheter.