candidiasis%20(pediatric)
CANDIDIASIS (PEDIATRIC)
Candida sp are the most common cause of fungal infections.
It can manifests from benign mucocutaneous illnesses to invasive process that may affect any organ.
It is considered as normal flora in the gastrointestinal & genitourinary tracts, but when there is an imbalance in the ecological niche they can invade & cause disease.
The immune response of the patient is the important determinant of the type of infection caused by Candida.
Most common risk factors include: prematurity, very low birth weight, use of broad-spectrum antibiotics use, use of central venous catheters, receipt of parenteral nutrition, receipt of renal placement therapy by patients in intensive care unit (ICU), neutropenia, use of implantable prosthetic devices and receipt of immunosuppressive agents.

Follow Up

  • All patients w/ candidemia should undergo at least 1 ophthalmological exam to exclude the possibility of candidal endophthalmitis
  • Follow-up blood cultures should be done for all patients w/ candidemia to ensure clearance of Candida from the blood stream
    • Daily or every other day blood culture is recommended to be performed until there is no longer yeast yield
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