Impact of Infectious Disease Consultation on Clinical Management and Mortality in Patients With Candidemia

Clin Infect Dis. 2019 Apr 24;68(9):1585-1587. doi: 10.1093/cid/ciy849.

Abstract

Candidemia has a high attributable mortality. The objective of this study was to determine the impact of infectious disease consultation on mortality and clinical outcomes in candidemia. Infectious disease consultation was associated with better adherence to guidelines and improved survival, even in patients with high Acute Physiology and Chronic Health Evaluation II scores.

Keywords: candidemia; infectious disease consultation.

MeSH terms

  • APACHE
  • Adult
  • Aged
  • Antifungal Agents / therapeutic use*
  • Candida / drug effects
  • Candida / growth & development
  • Candida / pathogenicity
  • Candidemia / drug therapy
  • Candidemia / microbiology
  • Candidemia / mortality*
  • Disease Management*
  • Female
  • Guideline Adherence
  • Humans
  • Intensive Care Units
  • Male
  • Middle Aged
  • Practice Guidelines as Topic
  • Referral and Consultation / statistics & numerical data*
  • Retrospective Studies
  • Survival Analysis
  • Treatment Outcome

Substances

  • Antifungal Agents