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Candidaemia Catheter Removal Dialysis — ESENeph MCQ

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ModerateHaemodialysisCandidaemia Catheter Removal DialysisESENeph

A 55-year-old man with CKD G5D on HD develops a fever and blood cultures grow Candida albicans. He has a tunnelled catheter. What is the management of candidaemia in a dialysis patient with a tunnelled catheter?

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Correct answer: E — Remove the catheter and give systemic antifungal therapy

Candida bloodstream infection associated with a tunnelled dialysis catheter requires systemic antifungal therapy and prompt source-control planning. Catheter removal is normally required because Candida biofilm makes salvage unreliable; obtain follow-up cultures and treat for at least 14 days after documented clearance and symptom resolution, longer if complications are found.

Reference: https://guidelines.ukkidney.org/vascular-access/