Commentary to: Ultrasonographic evaluation of the children with candiduria for the fungal ball: Is it necessary?

摘要

In their retrospective descriptive study of clinical and imaging characteristics of 220 hospitalized children diagnosed with candiduria over an eight-year period, Devrim et al. found that many were treated with broad spectrum antibiotics (94), cared for in the intensive care unit (43), and had Candida albicans as the urinary fungal isolate (68). All had ultraso-nography performed, and 1 had fungal balls. Some observations from Devrim et al. dovetail with known independent risk factors for candiduria in adult hospitalized patients from multicenter studies: most notably antibiotic use, presence of urinary tract abnormalities, and presence of indwelling catheters 1,2. Contrary to adults candiduric patients, where 1-2 developed candidemia of the same species 1,3, Devrim et al. found that 19 of candiduric pediatric patients had candidemia.