How do you typically manage a patient with a single positive blood culture from two sets growing candida species in a stable patient without prosthetic devices or material?
Answer from: at Community Practice
Looking for the source would be key to guiding therapy and the need for further workup. Was it an indwelling Foley or a central line? If removed and exchanged, and blood cultures are clear and no concerns for endocarditis, 2 weeks of antifungal therapy would be enough. I would start with echinocandi...
Candidemia is defined as the presence of Candida species in the blood, and even a single positive blood culture specimen is considered significant and warrants treatment as candidemia. Initial management should include:
Initiating antifungal therapy with an echinochandin (micafungin, capsofungin,...