Clinical characteristics and prognostic risk factors of candidemia in non-neutropenic patients: a retrospective cohort study

Eur J Clin Microbiol Infect Dis. 2023 Nov;42(11):1389-1394. doi: 10.1007/s10096-023-04672-z. Epub 2023 Oct 4.

Abstract

This study aimed to determine the clinical characteristics and the prognostic risk factors in non-neutropenic patients with candidemia. Data were retrospectively collected through the medical record information system. Non-neutropenic patients with candidemia were relatively aged, with a more than one-third rate of in-hospitalization mortality. In multivariate analysis, APACHE II score (adjusted odds ratio [aOR], 1.138; 95% confidence interval [CI], 1.067-1.213), septic shock (aOR, 5.704; 95% CI, 2.639-12.326) and RRT (aOR, 16.152; 95% CI, 2.628-99.275) (all P < 0.01) were independent related with non-survivors. In conclusion, non-neutropenic patients with candidemia have a high in-hospitalization mortality, and APACHE II, septic shock, and RRT are independently factors.

Keywords: Candidemia; Concomitant bacteremia; Non-neutropenic; Prognostic factors.

MeSH terms

  • Aged
  • Candidemia* / diagnosis
  • Candidemia* / epidemiology
  • Humans
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Shock, Septic* / diagnosis
  • Shock, Septic* / epidemiology
  • Shock, Septic* / microbiology