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Time to Initiation of Fluconazole Therapy Impacts Mortality in Patients with Candidemia: A Multi‐Institutional Study
Author(s) -
Kevin W. Garey,
M Rege,
Manjunath P. Pai,
Dana E. Mingo,
Katie J. Suda,
Robin S. Turpin,
David T. Bearden
Publication year - 2006
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/504810
Subject(s) - fluconazole , medicine , fungemia , candida glabrata , candida tropicalis , candida parapsilosis , candida albicans , retrospective cohort study , mycosis , mortality rate , corpus albicans , surgery , antifungal , microbiology and biotechnology , biology , dermatology
Inadequate antimicrobial treatment is an independent determinant of hospital mortality, and fungal bloodstream infections are among the types of infection with the highest rates of inappropriate initial treatment. Because of significant potential for reducing high mortality rates, we sought to assess the impact of delayed treatment across multiple study sites. The goals our analyses were to establish the frequency and duration of delayed antifungal treatment and to evaluate the relationship between treatment delay and mortality.

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