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

Rachael A Lee; Joanna C Zurko; Bernard C Camins; Russell L Griffin; J Martin Rodriguez; Todd P McCarty; Justine Magadia; Peter G Pappas

doi:10.1093/cid/ciy849

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.

Authors

Rachael A Lee¹, Joanna C Zurko², Bernard C Camins¹, Russell L Griffin³, J Martin Rodriguez¹, Todd P McCarty¹, Justine Magadia⁴, Peter G Pappas¹

Affiliations

¹ Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham.
² Department of Medicine, University of Alabama at Birmingham.
³ Department of Epidemiology, University of Alabama School of Public Health, Birmingham.
⁴ Baylor University, Waco, Texas.

PMID: 30281081
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