Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
 • Transition to fluconazole pending: Susceptibilities, Negative Cultures
 • Length: 2 Weeks minimum (if no complications)
2) Lines and Tubes
 • Central Venous Catheters (CVL/PICC) - If candidemia felt to be due to central venous line, it should be removed ASAP
 • Other hardware - Risk-Benefit Discussion
3) Complications
 • Ocular - Eye exam within one week to assess ocular involvement
 • Cardiac - No specific recommendations. Generally no routine TTE or TEE unless clinical concern for endocarditis
 • Additional metastatic workup dictated by symptoms. Consider: Spine, CNS, liver, spleen, or GU tract

By Brian Russell MD @brian_russell39 and Dr. Sara Dong @swinndong via @iMedEducation

#Candidemia #IDSA #Guidelines #Management #candida #candidiasis #treatment #fungal #fungemia
Dr. Gerald Diaz @GeraldMD · 3 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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