Association between Following the ESCMID Guidelines for the Management of Candidemia and Mortality: A Retrospective Cohort Study.
Candida spp.
candidemia
fungemia
guidelines
Journal
Journal of fungi (Basel, Switzerland)
ISSN: 2309-608X
Titre abrégé: J Fungi (Basel)
Pays: Switzerland
ID NLM: 101671827
Informations de publication
Date de publication:
23 May 2022
23 May 2022
Historique:
received:
14
04
2022
revised:
19
05
2022
accepted:
20
05
2022
entrez:
28
5
2022
pubmed:
29
5
2022
medline:
29
5
2022
Statut:
epublish
Résumé
The objective of this study was to evaluate the association between ESCMID adherence and 30-day mortality in candidemia. We performed a retrospective cohort study in two French tertiary-care hospitals. All patients with at least one positive blood culture (BC) for During the study period, 165 cases of candidemia were included. Among the ESCMID criteria, funduscopic examination was not performed in 45% and neither was echocardiography in 31%, while the ESCMID criteria were fully implemented in 44 cases (27%). In the propensity score analysis, the all-cause 30-day mortality rate was significantly lower among adherent cases (3.4/36.6, 9%) than among nonadherent cases (42.4/119.5, 36%) (OR = 5.3 95% CI [1.6-17.1]). In our study, adherence to the bundle of criteria for candidemia management was associated with increased survival, supporting additional efforts to implement these recommendations.
Identifiants
pubmed: 35628796
pii: jof8050541
doi: 10.3390/jof8050541
pmc: PMC9147446
pii:
doi:
Types de publication
Journal Article
Langues
eng
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