Tasty Morsels of Critical Care Tasty Morsels of Critical Care 049 | Candida
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Jul 26, 2021 Explore the clinical aspects of Candida in critical care settings, including risk factors, diagnosis, and treatment options. Learn about the importance of eye examinations for Candidiasis and potential risks of Candida endophthalmitis.
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Candida Colonization vs. Infection
- Candida often appears in ICU patient samples, especially in urine and bronchial alveolar lavage.
- This usually indicates colonization, not infection, and generally doesn't require treatment.
Defining Invasive Candida
- Invasive Candida is diagnosed if found in blood cultures, sterile cavities, or two non-contiguous sites.
- Non-commensal species or cultures from wounds/burns also indicate invasive infection.
Beta-D-Glucan for Antifungal Guidance
- Use Beta-D-Glucan to assess antifungal treatment necessity.
- High levels warrant antifungals, while low levels in stable patients suggest stopping.