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Compliance With Infectious Diseases Society of America Guidelines for Ophthalmologic Evaluation of Patients With Candidemia

2007; Lippincott Williams & Wilkins; Volume: 15; Issue: 4 Linguagem: Inglês

10.1097/ipc.0b013e318059b95f

1536-9943

Kyle J. Popovich, Preeti Malani, Carol A. Kauffman, Sandro K. Cinti,

Antibiotic Use and Resistance

Background: Although ophthalmologic examination is recommended for patients with candidemia, the rate of compliance with this recommendation is unknown. Method: We reviewed records for 100 consecutive adult patients who had candidemia. Results: Candida albicans was the pathogen in 55. Among the 80 patients who had an eye examination, 3 had endophthalmitis, and 2 had chorioretinitis. One of the 20 patients who had no examination later presented with endophthalmitis. Among 74 patients for whom an infectious diseases consultation was obtained, 66 (89%) had an ophthalmology consultation compared with 14 (54%) of 26 patients for whom an infectious diseases consultation was not obtained (P < 0.001). Conclusion: Infectious diseases consultation improves adherence to suggested guidelines for the evaluation of candidemia.