Fungal Intravascular Catheter Colonization without Fungemia Should Be Treated?

Ref ID: 18762

Author:

Y. Meije, MD – ID Physician, G. Fresco, MD – ID Physician, P. Martí­n-Dávila, MD – ID Physician, E. Loza, MD – Microbiologist, E. Gómez-GªPedrosa, MD – Microbiologist, J. Rodrí­guez, MD – ID Physician, V. Pintado, MD – ID Physician, J. Cobo, MD – ID Ph

Author address:

Hosp. Ramón y Cajal, Madrid, Spain.

Full conference title:

52nd Annual ICAAC

Date: 9 September 2014

Abstract:

Background: Clinical impact of reporting Candida spp. colonized catheters for patients (pt) without fungemia is an unresolved issue defined by IDSA clinical guidelines Methods: This is a retrospective study to analyse demographic data, outcomes and physician decision made about all non candidemic pt with a positive intravascular catheter (IVC) tip for Candida spp. during a 5 years period (2006-20011) in Ramí³n y Cajal tertiary-care hospital. We also compared this cohort with all catheter-related candidemia population during the same period Results: 78 patients had Candida spp. catheter colonization without candidemia. Mean age was 59,65 years. Mean Charlson score was 3,21. Mean time of length hospitalization before positive IVC was 37,76 days. Main Candida sp isolated was C. albicans (60,3%) and C.parapsilosis (21,8%). The most frequent IVC was jugular (37%) follow by femoral (17%). Mean time of antibiotic treatment duration before positive IVC was 16,37 days SD (9,68). Mean Candida score was 1,81 and Pittet Candida colonization index 0,49. 35/78 pt (44,9%) received antifungal treatment, physician decision was made because sepsis and C. score >/= 3 in 23 of them and intravascular device or recent heart surgery in 5 of them. 4 pt developed other invasive Candida infection sites at the same time as the catheter colonization. Among the other 43 pt who didn’t receive treatment no one of them developed candidemia or invasive candidiasis, these all pt were no septic and their Candida score was

Abstract Number: M-1700

Conference Poster: y

Conference Year: 2012

Link to conference website: NULL

New link: NULL

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