Clinical features of catheter-related candidemia at disease onset.

Abstract

INTRODUCTION:

Early detection of catheter-related candidemia is necessary to ensure that patients receive prompt and appropriate treatment. The aim of the present case-control study is to investigate the clinical features of catheter-related candidemia at disease onset, so as to determine the clinical indications for empiric antifungal therapy.

METHODS:

All 41 cases of catheter-related candidemia from September 2009 to August 2011 at a teaching hospital were included in the present study. To determine the characteristics that were risk factors for developing catheter-related candidemia, we compared all cases of catheter-related candidemia with all 107 cases of catheter-related blood stream infection (CRBSI) caused by non-Candida spp.

RESULTS:

In comparison with CRBSI due to non-Candida spp., the duration of catheter use was significantly longer in cases of catheter-related candidemia (13.9 ± 9.0 days vs. 23.2 ± 25.2 days). There was also a significant difference in the frequency of pre-antibiotic treatment between catheter-related candidemia and CRBSI due to non-Candida spp. (97.6% [40/41 cases] vs. 44.9% [48/107 cases]). Patients with catheter-related candidemia also had significantly more severe clinical statuses (measured using the Sepsis-related Organ Failure Assessment score) than patients with CRBSI due to non-Candida spp. (7.63 ± 3.65 vs. 5.92 ± 2.81).

CONCLUSION:

When compared to patients with CRBSI caused by non-Candida spp., patients with catheter-related candidemia had significantly more severe clinical backgrounds, longer duration of catheter use and more frequent prior administration of antibiotic agents.

• Authors: Yusuke Yoshino, Yoshitaka Wakabayashi, Satoshi Suzuki, Kazunori Seo, Ichiro Koga, Takatoshi Kitazawa, Shu Okugawa, Yasuo Ota
• Journal: Singapore medical journal (Singapore Med J) Vol. 55 Issue 11 Pg. 579-82 (Nov 2014) ISSN: 2737-5935 [Electronic] India
• PMID: 25631968 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Candida (pathogenicity)
• Candidemia (diagnosis)
• Case-Control Studies
• Catheter-Related Infections (diagnosis)
• Female
• Humans
• Male
• Middle Aged