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Early Empirical Anidulafungin Reduces the Prevalence of Invasive Candidiasis in Critically Ill Patients: A Case-control Study Cover

Early Empirical Anidulafungin Reduces the Prevalence of Invasive Candidiasis in Critically Ill Patients: A Case-control Study

Open Access
|May 2022

Figures & Tables

Fig. 1

ICU leaving rate within the first 10 day of ICU admission
ICU leaving rate within the first 10 day of ICU admission

Fig. 2

Kaplan-Meier survival curve for EAT group (received intravenous anidulafungin empirically) (blue line) and NEAT group (received no antifungal therapy empirically) (green line). Analysis run using groups (EAT vs. NEAT) as factor; death as event and time to death as time variable.
Kaplan-Meier survival curve for EAT group (received intravenous anidulafungin empirically) (blue line) and NEAT group (received no antifungal therapy empirically) (green line). Analysis run using groups (EAT vs. NEAT) as factor; death as event and time to death as time variable.

Demographic, information, comorbidities, laboratory test results during admission in patients received empirical anidulafungin or no empirical antifungal therapy

CharacteristicsVariables (N = 149)P value
EAT group (Case) (n = 77)NEAT group (Control) (n = 72)
Age (year)
Mean ± SD60.4 ± 17.561.3 ± 17.6
Range (min-max)20 - 8522 - 900.762

Gender
Male4140
Female36320.870

Comorbidities
Diabetes, n (%)64 (83.11)59 (81.94)0.001
Hypertension, n (%)68 (88.31)57 (79.16)0.001
CVD, n (%)37 (48.05)40 (55.55)0.842
BA, n (%)23 (29.87)26 (36.11)0.577
CKD, n (%)25 (32.46)26 (36.11)0.565
COPD, n (%)14 (18.18)12 (16.66)0.784
CLD, n (%)11 (14.28)8 (11.11)0.685
PUD, n (%)9 (11.68)11 (15.27)0.723
Arthritis, n (%)4 (5.19)3 (4.16)0.067
PD, n (%)6 (7.79)4 (5.55)0.023

C-reactive protein (<10.0 mg/mL)
Mean ± SD210.2 ± 112.5221.9 ± 105
Range (min-max)11.7 - 390.430.4 – 388.40.515

Procalcitonin (<0.1 ng/mL)
Mean ± SD8 ± 25.910.8 ± 27.2
Range (min-max)0.02 - 1140.08 - 1290.522

White blood cell (4-11 K/μL)
Mean ± SD18.3 ± 4.718.1 ± 4.90.998
Range (min-max)12.4 - 32.611.5 – 30.2

Serum creatinine (0.8-1.4 mg/dL)
Mean ± SD1.7 ± 0.61.6 ± 0.60.900
Range (min-max)0.6 - 3.30.7 – 2.9

SpO2 (%), Mean ± SD92 ± 291 ± 30.586
Range (min-max)86 - 9687 - 98

RSO, Mean ± SD7 ± 67 ± 50.644
Range (min-max)2 - 142 - 15

Respiratory rate, (breaths/min), Mean ± SD24 ± 325 ± 50.144
Range (min-max)19 - 3117 - 29

Heart rate (beat/min), Mean ± SD98 ± 1498 ± 90.062
Range (min-max)72 - 11272 - 109

LDH ((U/L), Mean ± SD432 ± 189.4467 ± 167.1
Range (min-max)389.4 – 526.7376.3 – 632.40.048

ALT (U/L), Mean ± SD67 ± 36.673 ± 41.20.058
Range (min-max)59.8 – 88.356.2 – 92.6

AST (U/L), Mean ± SD39 ± 16.736 ± 19.30.264
Range (min-max)32.4 – 59.733.7 – 72.3

APACHE II Score (0-30)
Mean ± SD18.7 ± 4.417.2 ± 4.40.005
Range (min-max)10 - 2410 - 30

Incidences of invasive candidiasis and mortality rate in patients

GroupIC* occurred during hospital-stay (%)P value30-day mortality rate (n)P value
4 (5.19%)
EAT group (n = 77)Candida pneumonia 3 (3.8) Candida UTI 1 (1.2) 10.39 % (8)
1 (CA*); 2 (NAC) 1 (NAC*)

<0.001
0.040
21 (29.17%)
NEAT group (n = 72)Candida pneumonia 16 (22.2)Candida UTI 3 (4.1)Candidemia 2 (2.7) 19.44 % (14)
11 (CA); 5 (NAC)2 (CA); 1 (NAC)1 (CA); 1 (NAC)
DOI: https://doi.org/10.2478/jccm-2022-0006 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 89 - 99
Submitted on: Jan 13, 2022
Accepted on: Apr 6, 2022
Published on: May 12, 2022
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Md Jahidul Hasan, Sharmind Neelotpol, Raihan Rabbani, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.