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. 2020 Jul 12;10(7):e036452. doi: 10.1136/bmjopen-2019-036452

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.