Table 2.
Length of hospital and ICU stay, percentages of patients receiving antibiotics, duration of antibiotic therapy prior to candidaemia onset, and overall mortality
Studies | Length of hospital stay (days) | Length of ICU stay (days) | Length of hospital stay prior to ICU admission (days) | Duration of ICU admission prior to candidaemia onset (days) |
Percentages of patients receiving antibiotic therapy prior to candidaemia onset | Duration of antibiotic therapy prior to candidaemia onset (days) |
Overall mortality rate |
First author (year) | |||||||
Zhao (2018)51 | NA | 24 (12–57)* | NA | NA | NA | NA | 58 |
Ding (2018)52 | NA | NA | NA | NA | Broad-spectrum antibiotics: 98.6% |
NA | 31.90 |
Yang (2017)26 | Prior to IC diagnosis | NA | NA | Early-onset IC: 4 (1–7)† |
Early-onset IC: 62 (59.0%) | NA | Early-onset IC: 28.6 |
Early-onset IC: 4 (2–7)† | Late-onset IC: 17 (10–33)† |
Late-onset IC: 179 (89.1%) | Late-onset IC: 40.8 | ||||
Late-onset IC: 26 (16–50)† | |||||||
Tigen (2017)53 | NA | 22 (18–30)* | NA | NA | Broad-spectrum antibiotic: 100% |
NA | 83.30 |
5.5 (2.25–15.75)* | Broad-spectrum antibiotic: 59.5% |
||||||
Baldesi (2017)54 | NA | 29 (18–49)† | NA | NA | Antimicrobials: 82.2% | NA | 52.40 |
7 (4–13)† | Antimicrobials: 55.1% | 17.80 | |||||
Rudramurthy (2017)55 | NA | NA | NA | 10 (4.7–22.2)† | NA | NA | 41.90 |
7 (3–13)† | 27 | ||||||
Kawano (2017)56 | NA | NA | NA | 13 (1–73)* | Broad-spectrum antimicrobial: 84% |
NA | 72 |
Ortíz Ruiz (2016)16 | 35.4±3.0 | 21.9±1.7 | NA | Median 25 | Broad-spectrum antibiotic: 93.8% vs 69.8% (case vs control) |
NA | 39.51 |
Gong (2016)47 | Candida albicans: median: 32 | C. albicans: median: 18 | NA | NA |
C. albicans
(before diagnosis): 76 (77.6%) |
NA |
C. albicans
(before diagnosis): 29.6 |
Non-C. albicans: median: 44 | Non-C. albicans: median: 29 | Non-C. albicans
(before diagnosis): 121 (82.9%) |
Non-C. albicans
(before diagnosis): 26.7 |
||||
Playford (2016)57 | 51 (34–89)† | 21 (14–32)† | NA | 10 (5–15.25)* | NA | NA | 26 |
23 (13–40)† | 8 (5–12)† | 18.30 | |||||
Pinhati (2016)58 | NA | NA | NA | 22 (0–83)* | Any: 47.6% | NA | 42.90 |
25 (7–134)* | Any: 42.1% | 47.40 | |||||
Aguilar (2015)15 | NA | NA | NA | 20 (5–37.5)† | Antibiotic therapy: 21 (95.4%) | 10 (5.0–16.5)* | 13.60 |
Fochtmann (2015)27 | NA | 60 (13–176)* | NA | 16 (6–89)* | Broad-spectrum antibiotic treatment in most patients |
16 (6–89)* | 30 |
Klingspor (2015)28 | NA | 23 (0–329)* | 2 (0–744)* | 12 (0–190)* | Broad-spectrum antibiotics in the last 2 weeks: 511 (78.4%) |
NA | 38.80 |
Chakrabarti (2015)29 | NA | NA | NA | 8 (4–15)† | Patients with candidaemia received antibiotics: 93.0% |
16.0 (7–36) days† | 44.70 |
Liao (2015)14 | Flu-S: 34.5 (18–65) | Flu-S: 22.5 (10.0–40.0) | NA | Flu-S: 8.0 (3.0–17.0)† | ≥5 days before diagnosis: | NA | Flu-S: 31.8 |
Flu-R: 48.0 (21–90) | Flu-R: 29.0 (17–59) | Flu-R: 10.5 (4.0–27.0)† | Flu-S: 101 (78.3%) | Flu-R: 41.1 | |||
Flu-R: 73 (81.1%) | |||||||
Kautzky (2015)59 | NA | 46 (14–74)* | 17 (1–21)* | 17.4±14.5 | 100% | NA | 80 |
21 (10–77)* | 3 (1–66)* | 90% | 21.70 | ||||
Karacaer (2014)31 | 46.8±36.7 (5–190) | 32.9±36.9 (0–190) | NA | NA | NA | 15±13.8 | 77.70 |
Colombo (2014)32 | NA | NA | NA | 20 (0–188)* | Prior antibiotic exposure: 96.1% | NA | 70.30 |
Hu (2014)48 | 54.0 (26.0–91.0)† | 34.0 (18.0–71.0)† | NA | 11.0 (4.0–26.0)† | CRCBSI: 100% | CRCBSI: 11.4±4.2 days | 44.80 |
Non-CRCBSI: 99.5% | Non-CRCBSI: 10.6±6.5 days | ||||||
Lortholary (2017)60 | NA | NA | NA | NA | NA | NA | 51.00 |
30.70 | |||||||
Yapar (2014)61 | NA | 30.9±33 | NA | NA | 96.90% | NA | 43.90 |
12.9±13 | 78.30% | 32.20 | |||||
Guo (2013)49 | NA | NA | NA | 10 (0–330)* | Treatment before diagnosis confirmation: 74 (27.6%) |
NA | 36.60 |
Giri (2013)30 | NA | Mean 26.4 (range 9–86) days | NA | NA | 66.70% | Mean 19.45 (range 4–31) days | 24 |
Tortorano (2012)33 | NA | NA | NA | 22.8 (2–190)* | Broad-spectrum antibiotic treatment: 85% |
NA | 46.20 |
Ylipalosaari (2012)34 | 38.0 (22–59)† | 16.0 (11–30)† | 1 (0–2)† | 8.0 (1.0–12.0)† | Previous antibacterial treatment: 97.4%–95.5% |
NA | 65.80 |
Pasero (2011)35 | NA | 21±7 | NA | 20 (8–49)† | A significantly higher administration of >2 antibiotics for >72 hours. |
NA | 47 |
Han (2010)36 | 38 (2–141)† | 22 (1–141)† | 8 (0–92)† | 17 (0–117)* | All patients were treated with antibiotics prior to candidaemia onset. |
16 (1–92)* | 96.00 |
Pratikaki (2011)37 | NA | 25 (14–46)† | 14 (1–20)† | 10 (3–22)† | All patients received antimicrobial agents prior to candidaemia onset. |
NA | 60.60 |
Playford (2009)38 | NA | NA | NA | 10 (4–16)† | Antibiotic receipt on days 1–3: 83.4% |
NA | 10.60 |
Broad-spectrum antibiotic receipt on days 1–3: 82.0% | |||||||
Holley (2009)39 | NA | C. albicans: 29.0±18.5 | NA | NA | All patients received antimicrobial agents prior to candidaemia onset. |
C. albicans: 13 (median) |
C. albicans: 52.9 |
Non-C. albicans: 29.2±28.2 | Non-C. albicans: 15 (median) |
Non-C. albicans: 64.7 | |||||
Choi (2009)40 | Prior to fungaemia | C. albicans: 19±41 | NA | C. albicans: 11±25 | NA | NA | C. albicans: 48 |
C. albicans: 42±47 | Non-C. albicans: 25±50 | Non-C. albicans: 15±31 | Non-C. albicans: 67 | ||||
Non-C. albicans: 38±33 | |||||||
Yap (2009)50 | 28 (17–54)† | 14 (5–23)† | NA | 6 (1–13)† | Antibiotics >48 hours before candidaemia: |
NA | 70 |
C. albicans: 70 (97.0%) | |||||||
Non-C. albicans: 56 (100%) | |||||||
Chow (2008)41 | C. albicans: 28 (20–42)† | C. albicans: 22 (15–33)† | NA | C. albicans: 11 (9–17)† | Non-C. albicans: 0.75 (0–2)† | 2.21 (1.4–2.7)† | C. albicans: 58 |
Non-C. albicans: 37 (24–57)† | Non-C. albicans: 25 (14–40)† | Non-C. albicans: 10 (4–21)† |
Non-C. albicans: 57 | ||||
Bougnoux (2008)42 | NA | 43.1±45.2 | NA | 19.0±2.9 or (13.0; 2–145)† | No antibiotic treatment is reported. |
NA | 61.80 |
Girão (2008)43 | NA | NA | NA |
C. albicans: 15 (mean) |
The hospital restricted the use of several antibiotics. |
NA | C. albicans: 72 |
Non-C. albicans: 18 (mean) |
Non-C. albicans: 80 | ||||||
Dimopoulos (2008)44 | C. albicans: 22±7.6 | NA | NA |
C. albicans: 12±2.2 |
100% of patients received broad-spectrum antibiotic treatment for >3 days during the ICU stay. |
NA | C. albicans: 52.8 |
Non-C. albicans: 25±8.4 | Non-C. albicans: 10±2.4 | Non-C. albicans: 90 | |||||
Dimopoulos (2007)45 | NA | NA | NA | 9 (5–11)* | 100% of patients received broad-spectrum antibiotic treatment |
NA | NA |
Jordà-Marcos (2007)62 | 48 (26–69) | 28 (17–45) | NA | 23.5±54.7 | 100% | NA | 17.20 |
35 (22–57) | 18 (12–28) | 96.50% | 13.20 | ||||
Piazza (2003)63 | NA | N/A | NA | Median 13 days | NA | NA | 67 |
Michalopoulos (2003) 46 |
NA | 27.1±7.5 | NA | 15 (11–23)* | Empiric antibiotic therapy with two or more broad-spectrum agents for all patients. |
NA | NA |
*Data are presented as median (range).
†Data are presented as median (IQR).
CRCBSI, catheter-related bloodstream Candida infection; Flu-R, fluconazole-resistant; Flu-S, fluconazole-sensitive; IC, invasive candidiasis; ICU, intensive care unit; NA, not available.