Opportunistic Fungal Infections in Critical Care Units

Deborah D Garbee1, Stephanie S Pierce2, Jennifer Manning3

  • 1Department of Adult Health Nursing, School of Nursing, Louisiana State University Health Sciences Center, Louisiana Center for Promotion of Optimal Health Outcomes: A JBI Center of Excellence, 1900 Gravier Street, 4A21, New Orleans, LA 70112, USA.

Insights

Fungal infections are rising in critical care, posing diagnostic challenges and increasing mortality. Vigilant nursing assessment and interventions can reduce risks in immunocompromised patients.

Area of Science:

  • Infectious Diseases
  • Critical Care Medicine
  • Nursing

Background:

  • Fungal infections are increasing in critical care settings, despite being less common than bacterial infections.
  • Diagnosis of fungal infections can be challenging, leading to higher mortality rates.
  • Immunocompromised patients, including organ transplant recipients, oncology patients, and those with HIV/AIDS, are at elevated risk.

Purpose of the Study:

  • To highlight the increasing incidence of fungal infections in critical care.
  • To emphasize the role of critical care nurses in identifying and managing these infections.
  • To outline strategies for reducing the risk of fungal infections in vulnerable patient populations.

Main Methods:

  • Review of current literature on fungal infections in critical care.
  • Discussion of clinical presentation and diagnostic challenges.
  • Identification of nursing interventions to mitigate risk.

Main Results:

  • Fungal infections present diagnostic difficulties and are associated with increased mortality.
  • Fatigue and fever are key symptoms requiring vigilant nursing assessment.
  • Proactive nursing interventions can decrease fungal infection risk.

Conclusions:

  • Critical care nurses play a vital role in early detection and management of fungal infections.
  • Controlling glucose levels, minimizing invasive lines, and judicious antibiotic use are crucial preventative measures.
  • Enhanced vigilance and timely interventions are essential to improve outcomes for patients at risk of fungal infections.

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