Table 2. Selected characteristics of candidemia patients by year of surveillance, in Atlanta (ATL) and Baltimore (BTM) metropolitan areas.
Characteristic | Y1 | Y2 | Y3 | Y4 | Y5 | Change | |
---|---|---|---|---|---|---|---|
Total Cases | |||||||
ATL | 541 | 526 | 487 | 419 | 351 | −35% | |
BTM | 440 | 354 | 323 | 202 | 205 | −53% | |
Crude Incidence Rate | |||||||
ATL | 14.1 | 13.5 | 13.2 | 11.4 | 9.5 | −33% | |
BTM | 30.9 | 24.8 | 22.7 | 14.2 | 14.4 | −54% | |
Patient group (n) | |||||||
ATL | HO | 405 | 374 | 335 | 270 | 226 | −44% |
HACO | 124 | 135 | 136 | 128 | 111 | −10% | |
CA | 12 | 17 | 16 | 21 | 14 | 17% | |
BTM | HO | 253 | 223 | 182 | 121 | 111 | −56% |
HACO | 175 | 122 | 131 | 72 | 79 | −55% | |
CA | 12 | 9 | 10 | 9 | 15 | 25% | |
Central Venous Catheter within 2 days of candidemia (n) | |||||||
ATL | All ages | 473 | 454 | 421 | 349 | 294 | −38% |
<1 year of age | 14 | 22 | 6 | 4 | 9 | −36% | |
> = 65 years of age | 159 | 138 | 158 | 118 | 93 | −42% | |
BTM | All ages | 384 | 312 | 262 | 155 | 151 | −61% |
<1 year of age | 10 | 9 | 6 | 3 | 6 | −40% | |
> = 65 years of age | 136 | 114 | 77 | 58 | 49 | −64% | |
Surgery among patients who did not have a CVC (n) | |||||||
ATL | Ab surgery | 11 | 6 | 6 | 9 | 6 | −45% |
Non ab surgery | 7 | 4 | 6 | 6 | 7 | 0% | |
BTM | Ab surgery | 6 | 11 | 10 | 6 | 6 | 0% |
Non ab surgery | 7 | 5 | 3 | 5 | 7 | 0% | |
Species-Specific Incidence Rates (IR) | |||||||
ATL | CA | 5.91 | 5.73 | 5.59 | 4.86 | 3.72 | −37% |
CG | 4.28 | 3.62 | 3.35 | 2.72 | 2.86 | −33% | |
CP | 2.38 | 2.62 | 2.39 | 2.25 | 1.63 | −31% | |
CT | 0.71 | 0.80 | 1.22 | 0.90 | 0.73 | 4% | |
CK | 0.27 | 0.26 | 0.19 | 0.19 | 0.25 | −8% | |
Other | 0.42 | 0.54 | 0.70 | 0.38 | 0.46 | 8% | |
BTM | CA | 11.60 | 9.18 | 7.72 | 4.56 | 5.12 | −56% |
CG | 9.34 | 8.14 | 8.20 | 5.68 | 4.97 | −47% | |
CP | 5.41 | 4.07 | 3.51 | 1.69 | 1.47 | −73% | |
CT | 3.53 | 3.03 | 3.15 | 1.33 | 1.97 | −44% | |
CK | 0.43 | 0.37 | 0.14 | 0.14 | 0.28 | −35% | |
Other | 0.93 | 0.99 | 1.20 | 0.47 | 0.69 | −26% | |
% Resistant to Fluconazole | |||||||
ATL | 8% | 9.38% | 5.67% | 7% | 7.14% | −10% | |
BTM | 6.57% | 8.07% | 4.73% | 4.50% | 4.93% | −25% | |
% Resistant to an Echinocandin | |||||||
ATL | 1.18% | 1.44% | 0.99% | 0.83% | 2.92% | 147% | |
BTM | 1.95% | 0.58% | 2.21% | 2.50% | 3.45% | 77% | |
% Multidrug Resistant Candida | |||||||
ATL | 0.18% | 0.38% | 0% | 0.48% | 0.85% | 372% | |
BTM | 0.91% | 0% | 0.62% | 0.50% | 0.98% | 8% |
Note: HO, healthcare onset. HACO, healthcare-associated community-onset. CA, community-acquired. Ab surgery, abdominal surgery. Y, year.