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[Candidiasis in an intensive care unit]

M A León Regidor1, A Ayuso Gatell, R Díaz Boladeras

  • 1Servicio de Medicina Intensiva, Hospital General de Catalunya, San Cugat del Vallès, Barcelona.

Revista Clinica Espanola
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

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This study evaluates candidiasis risk in Intensive Care Units (ICUs), identifying high-risk patients for early antifungal treatment. Early yeast detection and risk factors are linked to mortality and prolonged ICU stays.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Critical Care Medicine

Context:

  • Intensive Care Units (ICUs) present a significant risk for candidiasis infections.
  • Early detection of yeasts is crucial for timely intervention.
  • Patient outcomes are influenced by risk factors and the duration of ICU stay.

Purpose:

  • To evaluate the risk of candidiasis in ICU patients.
  • To develop an algorithm for early fungicidal treatment establishment.
  • To identify patient populations at high risk for disseminated candidiasis (HRDC).

Summary:

  • A study of 34 ICU patients revealed a 35% mortality rate.
  • Yeast detection typically occurred after the second week, correlating with longer ICU stays and age.

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  • Patients identified as high risk for disseminated candidiasis (HRDC) with negative blood cultures had a 50% mortality rate.

    • Impact:

    • The study helps determine the existence of HRDC, enabling targeted antifungal therapy.
    • Early identification of HRDC can potentially improve patient prognosis and reduce mortality.
    • Understanding yeast detection timelines and risk factors aids in managing candidiasis in critical care settings.