TABLE 1.
Risk of invasive candidiasis based on screening time point and anatomical site of colonization (derived from culture results only; entire patient cohort included)
Variablea | n | RRb | P value | 95% confidence interval (low) | 95% confidence interval (high) | Sensitivity (%) | Specificity (%) | PPVc (%) | NPVd (%) |
---|---|---|---|---|---|---|---|---|---|
Time point 1 (n studied = 6,015) | |||||||||
Any site colonized (CIe ≥ 0.3) | 3,511 | 2.35 | 0.002 | 1.35 | 4.08 | 78 | 40 | 2 | 99 |
At least throat colonized | 2,927 | 2.04 | 0.004 | 1.25 | 3.34 | 68 | 49 | 2 | 99 |
At least perineum colonized | 1,967 | 1.76 | 0.0155 | 1.1 | 2.77 | 48 | 66 | 2 | 99 |
At least urine colonized | 630 | 2.25 | 0.003 | 1.32 | 3.84 | 23 | 88 | 3 | 99 |
Time point 2 (n studied = 3,244) | |||||||||
Any site colonized (CI ≥ 0.3) | 2,025 | 3.69 | 0.001 | 1.66 | 8.17 | 86 | 38 | 2 | 99 |
At least throat colonized | 1,555 | 2.97 | 0.0007 | 1.58 | 5.56 | 74 | 51 | 2 | 99 |
At least perineum colonized | 1,313 | 1.54 | NSf | 0.89 | 2.67 | 52 | 59 | 2 | 99 |
At least urine colonized | 450 | 1.81 | NS | 0.95 | 3.44 | 24 | 85 | 3 | 99 |
Time point 3 (n studied = 1,820) | |||||||||
Any site colonized (CI ≥ 0.3) | 1,162 | 1.41 | <0.0001 | 1.23 | 1.61 | 89 | 37 | 2 | 100 |
At least throat colonized | 837 | 5.04 | 0.001 | 1.93 | 13.21 | 82 | 53 | 3 | 99 |
At least perineum colonized | 762 | 2.04 | NS | 0.96 | 4.34 | 61 | 57 | 2 | 99 |
At least urine colonized | 284 | NS |
Time point 1, days 3 to 4 post-ICU admission; time point 2, days 6 to 8 post-ICU admission; time point 3, days 9 to 11 post-ICU admission.
RR, relative risk.
PPV, positive predictive value.
NPV, negative predictive value.
CI, colonization index.
NS, not significant.