Candida score,用於是否決定要用anti-fungal agent時使用:
including as below:
1. Total parenteral nutrition * 1
2. Surgery * 1
3. Multifocal Candida colonization * 1
4. Severe sepsis * 2
=> The cutoff point is 3
這一篇是引用自
Crit Care Med. 2009 May;37(5):1624-33. doi: 10.1097/CCM.0b013e31819daa14.
Usefulness of the "Candida score" for discriminating between Candida colonization and invasive candidiasis in non-neutropenic critically ill patients: a prospective multicenter study.
內有些重點:
1. 常見的colonization位置為intestine與urine
2. 預防性可用Fluconazle
(2014-02-09補充)
若遇到severe candidiasis時:
1. 先用candin類
2. 換line
3. 用藥三天後抽blood culture,最後一套negative之後,再打14天的藥,才能結束
4. 記得會眼科。
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