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• W2149956870 abstract "Candidemia is a well-recognized complication of hospital stay, especially in critically ill patients. There is not a general consensus that predictors for candidemia in cardiosurgical intensive care unit (cICU) are different from a general ICU and it has been reported that cardiopulmonary bypass time is a specific risk factor in the cICU. We performed a prospective study to evaluate the main predictors for candidemia in patients admitted to the cICU. Included patients were adults admitted between July 2005 and December 2007 with an ICU-length of stay (ICU-LOS) ≥48 hours after cardiac surgery. Exclusion criteria were solid organ or bone marrow transplants, previous diagnosis of candidemia or other invasive infections and ICU stay before surgery. A multiple regression analysis was performed to identify the risk factors. Among 1955 patients admitted to the cICU, 345 were enrolled. Only 26 patients (1.3%) had candidemia after an ICU-LOS of 20 days (inter-quartile range, IQR 8–49 days). Total parenteral nutrition [odds ratio (OR)=9.56; confidence interval (CI)=1.741–52.534], severe sepsis (OR=4.20; CI=1.292–13.667), simplified acute physiology score II (OR=1.16; CI=1.052–1.278) and ICU-LOS >20 days (OR=6.38; CI=1.971–20.660) were independent predictors of candidemia. Patients undergoing cardiac surgery developed candidemia late after cICU admission and the independent predictors were similar to the general ICU." @default.
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• W2149956870 date "2011-03-01" @default.
• W2149956870 modified "2023-09-27" @default.
• W2149956870 title "Candidemia after cardiac surgery in the intensive care unit: an observational study" @default.
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• W2149956870 doi "https://doi.org/10.1510/icvts.2010.257931" @default.
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