Abstract:ObjectiveTo analyze the constitute and antifungal susceptibility of Candida spp. causing bloodstream infection in a hospital, so as to provide evidence for the prevention and treatment of bloodstream infection caused by Candida spp.MethodsCandida spp. isolated from blood specimens of clinical patients in a hospital between 2009 and 2013 were analyzed retrospectively, the high risk factors for Candida bloodstream infection were analyzed.ResultsA total of 42 isolates of Candida spp. were isolated from blood specimens of 42 patients between 2009 and 2013, the major was Candida parapsilosis (C. parapsilosis, n=20,47.62%), followed by C.albicans (n=16,38.10%), C.tropicalis (n=4, 9.52%), and C.glabrata(n=2, 4.76%). Candida spp. were mainly distributed in emergency intensive care unit(n=11), departments of urologic surgery (n=9) and cardiothoracic surgery(n=8). The venous catheters of 37 patients(88.10%) were isolated the same Candida spp. as blood culture, the average time from indwelling venous catheters to positive culture of blood and catheters were 31.47 and 33.18 days respectively; the percentage of positive culture for blood and catheters both increased with the prolongation of catheterization (both P<0.001). Susceptibility rates of Candida spp. to fluconazole and voriconazole were 75.00%-100.00%, to amphotericin B were all 100.00%, to itraconazole varied significantly with different species (0-87.50%).ConclusionThe major Candida strains causing bloodstream infection in this hospital is C. parapsilosis, and is related to the use of intravenous catheters, susceptibility rates to fluconazole, amphotericin B, and voriconazole are all high.