Candidíase e candidemia neonatal: Revisão de literatura
DOI:
https://doi.org/10.33448/rsd-v10i4.14326Palavras-chave:
Candidíase; Candidemia; Candida; Neonatos.Resumo
O objetivo desse estudo foi realizar uma revisão de literatura sobre a candidíase e candidemia neonatal abordando a etiopatogenia, epidemiologia, fatores de virulência, fatores de risco, manifestações clínicas, diagnóstico, tratamento, prevenção, resposta imunológica, padrão de susceptibilidade aos antifúngicos, estratégias para redução da morbimortalidade e perspectivas futuras. Foram elencados artigos publicados nos últimos dez anos nas bases de dados PubMed, Medline e Google Scholar. A candidíase e a candidemia neonatal são importantes causas de morbidade e mortalidade em todo o mundo, de forma que mais de 750.000 casos são registrados anualmente. Os recém-nascidos mais susceptíveis são os prematuros, de baixo peso, imunosuprimidos, sob o uso de cateter, ventilação mecânica e nutrição parenteral. É necessário um controle mais rígido dos fatores de risco dentro do ambiente hospitalar associado ao cuidado dos profissionais, além do uso racional de antifúngicos seja na prevenção ou tratamento da candidíase e candidemia. É importante ressaltar também sobre a mudança gradual no curso epidemiológico dessas patologias pela emergência de novas espécies não albicans que podem representar sério risco para os neonatos. Políticas públicas direcionadas para o manejo adequado da candidíase e candidemia são necessárias.
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