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Six-Year Trend Analysis of Nosocomial Candidemia and Risk factors in Two Intensive Care Hospitals in Mato Grosso, Midwest Region of Brazil

Overview of attention for article published in Mycopathologia, October 2013
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Title
Six-Year Trend Analysis of Nosocomial Candidemia and Risk factors in Two Intensive Care Hospitals in Mato Grosso, Midwest Region of Brazil
Published in
Mycopathologia, October 2013
DOI 10.1007/s11046-013-9705-5
Pubmed ID
Authors

Hugo Dias Hoffmann-Santos, Claudete Rodrigues Paula, Ana Caroline Akeme Yamamoto, Tomoko Tadano, Rosane C. Hahn

Abstract

We conducted this cross-sectional retrospective study using clinical and laboratory data from two tertiary hospitals in Cuiabá, Mato Grosso, Brazil, in order to explore the risk factors and estimate mortality, prevalence and lethality of candidemia between 2006 and 2011. A total of 130 episodes of candidemia were identified. The prevalence of candidemia was 1.8 per 1,000 admissions, the mortality rate was 0.9 per 1,000 admissions, and the lethality was 49.2 %. The main agent in this population was Candida parapsilosis (n = 50), followed by C. albicans (n = 45). Comparison between the numbers of episodes in the two triennia revealed that the non-albicans group grew by 48.2 %. The distribution of yeast species of Candida per hospital unit revealed that C. albicans was more prevalent than C. parapsilosis in the adult ICU and C. parapsilosis was more prevalent than C. albicans in the neonatal ICU. Patients remained hospitalized for an average of 53.5 days. Central venous catheters, parenteral nutrition and age were the variables that proved to be independent in the multivariate analysis and that maintained a statistically significant association with the incidence of death in patients with candidemia. The annual prevalence of candidemia showed a significant increase in the second triennium (2009-2011) compared with the first (2006-2008) probably due to increased exposure to risk factors: central venous catheter, H2 blockers, nutrition parenteral corticosteroids and mean hospital duration.

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Mendeley readers

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Geographical breakdown

Country Count As %
Brazil 1 2%
Unknown 49 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 18%
Student > Postgraduate 7 14%
Student > Bachelor 6 12%
Student > Doctoral Student 4 8%
Professor 4 8%
Other 10 20%
Unknown 10 20%
Readers by discipline Count As %
Medicine and Dentistry 20 40%
Agricultural and Biological Sciences 7 14%
Immunology and Microbiology 3 6%
Economics, Econometrics and Finance 3 6%
Computer Science 1 2%
Other 2 4%
Unknown 14 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 October 2013.
All research outputs
#14,762,521
of 22,725,280 outputs
Outputs from Mycopathologia
#644
of 1,074 outputs
Outputs of similar age
#124,716
of 210,284 outputs
Outputs of similar age from Mycopathologia
#3
of 7 outputs
Altmetric has tracked 22,725,280 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,074 research outputs from this source. They receive a mean Attention Score of 3.6. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 210,284 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 7 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.