Candidiasis

Main Content

Candidemia

Indications

  • Remove all central catheters/devices, if possible.
  • Serial blood cultures every other day until first final negative result
  • All patients require ophthalmology consult for dilated retinal exam within one week of diagnosis

First line treatment

  • Micafungin 100mg IV daily; then if clinically stable and isolates susceptible to fluconazole:
    • Fluconazole 400mg IV daily
    • Diagnosis is limited by slow turn-around time of fungal cultures. Final cultures results can take up to 7 days to result.

Duration

  • 14 days from first final negative results if no metastatic complications.
  • Be sure to have final results before de-escalating. See additional information.

Notes

Click here for additional information.

 

Disclaimer: The contents of this application are for the exclusive and specific use of University of Mississippi Medical Center faculty and trainees. Any other use is neither authorized nor sanctioned by UMMC. The information is for educational purposes only. The contents of this application are for the exclusive and specific use of UMMC faculty and trainees. Any other use is neither authorized nor sanctioned by UMMC. The information is for educational purposes only.