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Breast Surgery

Friday, 27 February 2015

Can yeast isolation be predicted in complicated secondary non-postoperative intra-abdominal infections?

Can yeast isolation be predicted in complicated secondary non-postoperative intra-abdominal infections? Critical Care 2015, 19: 60

Dupont, H., et al.

http://ccforum.com/content/pdf/s13054-015-0790-3.pdf

The aim of this study was to create a predictive score for yeast isolation in patients with complicated non-postoperative intra-abdominal infections (CNPIAI) and to evaluate the impact of yeast isolation on outcome. All patients with a CNPIAI undergoing emergency surgery over a 3-year period were included in the retrospective cohort (RC, n = 290). Patients with a yeast-positive peritoneal fluid culture (YP) were compared with patients with a yeast-negative culture (YN). Multivariate logistic regression was used to identify factors independently associated with yeast isolation and a predictive score was built. The score’s performance was then established in the prospective cohort (PC, n = 152) over an 18-month period. Outcome of the whole cohort was evaluated and independent risks factors of mortality searched. 

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